Verdejo Bravo C, Salinas Casado J, de Antonio García M P, Cruz Jentoft A J, Ribera Casado J M
Servicio de Geriatría, Hospital Universitario San Carlos, Madrid.
Rev Clin Esp. 1992 Oct;191(5):239-44.
Urinary incontinence is a common disease in elderly people, and the vesical instability is the most frequent cause. A prospective clinical study was done in elderly subjects with established urinary incontinence, produced by vesical instability, to find out if the analysis of several clinical parameters (general and urinary) together with the physical exam, are enough to establish a definitive diagnosis of vesical instability. The most characteristic urinary symptoms were urge incontinence (100%) and diurnal frequency (72%). Physical exam was normal in most patients. Our findings show that the clinical history and physical exam alone do not provide enough information to adequately characterize vesical instability, so, besides these parameters, an urodynamic study is needed to establish the originating mechanism of the urinary incontinence.
尿失禁是老年人的一种常见疾病，膀胱不稳定是最常见的病因。对患有因膀胱不稳定导致的已确诊尿失禁的老年受试者进行了一项前瞻性临床研究，以确定分析多项临床参数（一般参数和泌尿系统参数）并结合体格检查，是否足以确诊膀胱不稳定。最具特征性的泌尿系统症状是急迫性尿失禁（100%）和日间尿频（72%）。大多数患者的体格检查结果正常。我们的研究结果表明，仅靠临床病史和体格检查并不能提供足够的信息来充分描述膀胱不稳定的特征，因此，除了这些参数外，还需要进行尿动力学研究以确定尿失禁的发病机制。
