Kirby M
The Surgery, Nevells Road, Letchworth, Herts SG6 4TS, UK.
Int J Clin Pract. 2006 Feb;60(2):184-9. doi: 10.1111/j.1742-1241.2006.00715.x.
Stress urinary incontinence (SUI) is a common condition in women, caused by anatomical problems related to factors such as age, parity, menopause and obesity. Depending on the clinical findings and on the severity of symptoms, SUI can be managed with conservative methods including pelvic floor exercises, vaginal cones and general lifestyle modification advice; or, it can be treated surgically with procedures such as Burch colposuspension, vaginal slings or tension-free tapes and injection of bulking agents alongside the urethra. SUI is greatly underdiagnosed, because many women are reluctant to consult their doctors about their condition. Department of Health guidelines are placing greater emphasis on primary care management of the condition and Primary Care Trusts (PCTs) to provide consistent, integrated continence care services. The availability of new, non-invasive treatment options, such as duloxetine, are likely to have a positive impact on the future of SUI management.
压力性尿失禁（SUI）是女性的常见病症，由与年龄、生育次数、绝经和肥胖等因素相关的解剖学问题引起。根据临床检查结果和症状严重程度，SUI可采用保守方法治疗，包括盆底肌锻炼、阴道球囊以及一般生活方式调整建议；或者，也可通过手术治疗，如Burch阴道悬吊术、阴道吊带或无张力尿道中段吊带术，以及在尿道旁注射填充剂。SUI的诊断严重不足，因为许多女性不愿就自身病情咨询医生。卫生部指南更加重视该病症的初级保健管理，并要求初级保健信托基金（PCT）提供持续、综合的尿失禁护理服务。新的非侵入性治疗选择（如度洛西汀）的出现可能会对SUI的未来治疗产生积极影响。
