Chapple Christopher R
Department of Urology, Royal Hallamshire Hospital, Sheffield, UK.
Nat Clin Pract Urol. 2005 Nov;2(11):555-64. doi: 10.1038/ncpuro0339.
What is the role of urodynamic assessments and have we made too much use of them? Is there a correlation between symptoms and underlying pathophysiology? These questions are addressed in this article. There are disparities in the assessment of lower urinary tract dysfunction between the accuracy of symptomatic assessment and the underlying pathophysiology. This is particularly evident with voiding symptoms, in contrast to storage symptoms, and has fuelled the debates that have resulted in the abandonment of the term 'prostatism' in favor of 'lower urinary tract symptoms', whereas the term 'overactive bladder syndrome' has been embraced as a storage symptom complex. Clearly, voiding disorders principally affect men, whilst storage disorders are more common in women. Much has been written and spoken about regarding the use of symptomatic assessment versus urodynamics in the assessment of lower urinary tract symptoms in men, whilst there has been a clearer consensus on the potential usefulness of urodynamics in the assessment of storage disorders, and so this article focuses principally on the latter topic.
尿动力学评估的作用是什么，我们是否过度使用了它们？症状与潜在病理生理学之间是否存在关联？本文将探讨这些问题。下尿路功能障碍的评估在症状评估准确性与潜在病理生理学之间存在差异。与储尿症状相比，这在排尿症状中尤为明显，这引发了诸多争论，导致“前列腺增生症”一词被弃用，转而采用“下尿路症状”，而“膀胱过度活动症候群”一词则被用作一种储尿症状复合体。显然，排尿障碍主要影响男性，而储尿障碍在女性中更为常见。关于男性下尿路症状评估中症状评估与尿动力学的使用，已有大量著述和讨论，而对于尿动力学在储尿障碍评估中的潜在用途则有更明确的共识，因此本文主要聚焦于后一主题。
