van Pinxteren B, Lagro-Janssen A L M, Wiersma Tj, Goudswaard A N
Nederlands Huisartsen Genootschap, afd. Richtlijnontwikkeling en Wetenschap, Utrecht.
Ned Tijdschr Geneeskd. 2008 Nov 22;152(47):2559-63.
Two years after revision of the practice guideline 'Urinary incontinence' from the Dutch College of General Practitioners, it is time for a summary of the most important changes. The use of a bladder diary is recommended. In primary care, a stress test does not provide more information than history taking. Routine urodynamic testing is not indicated for patients presenting to their general practitioner with urinary incontinence. Treatment of stress, urge and mixed incontinence can usually be commenced in primary care; pelvic floor exercises and bladder training are preferred. If bladder training is not effective for urge incontinence, anticholinergic drugs should be considered. The use of oral and vaginal oestrogens and flavoxate is no longer recommended.
荷兰全科医生学院修订《尿失禁》实践指南两年后,是时候总结最重要的变化了。建议使用膀胱日记。在初级保健中,压力测试提供的信息并不比病史采集更多。对于因尿失禁前来全科医生处就诊的患者,不建议进行常规尿动力学检查。压力性、急迫性和混合性尿失禁的治疗通常可在初级保健中开始;盆底肌锻炼和膀胱训练是首选方法。如果膀胱训练对急迫性尿失禁无效,应考虑使用抗胆碱能药物。不再推荐使用口服和阴道雌激素以及黄酮哌酯。