Pushkar' O B, Shchaveleva D Iu
Urologiia. 2005 May-Jun(3):22-6.
In our clinic we encountered a mixed form of urinary incontinence (UI) in 27% patients. The urodynamic examination has detected hyperactive urinary bladder in 42.2% patients with mixed UI. The patients received conservative therapy in combination with replacement hormone therapy and exercise strengthening pelvic fundus muscles. A response was achieved in 69% cases. If the imperative component was not confirmed by urodynamic testing, the patient was treated surgically. 12 patients (21%) developed imperative disorders of voiding in early postoperative period, 8 (14%) patients' condition deteriorated. Thus, in mixed incontinence much attention should be given to clinical manifestations of the disease to avoid recurrent imperative disorders of voiding after operative treatment.
在我们诊所,27%的患者存在混合性尿失禁(UI)。尿动力学检查发现,42.2%的混合性UI患者存在膀胱过度活动。患者接受了保守治疗,同时结合激素替代疗法和盆底肌强化锻炼。69%的病例取得了疗效。如果尿动力学检查未证实存在急迫性成分,则对患者进行手术治疗。12例患者(21%)在术后早期出现急迫性排尿障碍,8例患者(14%)病情恶化。因此,对于混合性尿失禁,应高度重视疾病的临床表现,以避免手术治疗后反复出现急迫性排尿障碍。