Department of Urogynaecology, St Albans City Hospital, Waverley Road, St Albans, Hertfordshire AL3 5PN, United Kingdom.
Maturitas. 2010 Feb;65(2):167-71. doi: 10.1016/j.maturitas.2009.10.004. Epub 2009 Dec 11.
Urinary incontinence (UI) is an important middle age health issue and approximately 20% of women over 40 years of age have problems with continence. Urinary incontinence poses a significant negative impact on social functioning and quality of life to many individuals. It is estimated that around three million people are regularly incontinent in the UK with a prevalence of about 40 per 1000 adults. There are various factors which can cause incontinence such as pregnancy, childbirth, obesity, menopause, or just inherent connective-tissue weakness. All of these factors can cause pathophysiology changes in the muscular and fascial structures of the pelvic floor and lead to pelvic support defects and possibly pelvic floor dysfunction. We aim with this review article to highlight predictors or predisposing factors of incontinence; in order to help clinicians during their decisions and put in place a policy of a preventive strategy to decrease the incontinence rate in the general population.
尿失禁（UI）是一个重要的中年健康问题，大约 20%的 40 岁以上的女性存在控尿问题。尿失禁对许多人的社交功能和生活质量造成了重大负面影响。据估计，在英国，大约有 300 万人经常出现尿失禁，患病率约为每 1000 名成年人中有 40 人。导致尿失禁的因素有很多，如怀孕、分娩、肥胖、绝经，或者只是固有结缔组织薄弱。所有这些因素都会导致盆底肌肉和筋膜结构的病理生理学改变，导致盆底支撑缺陷，并可能导致盆底功能障碍。我们撰写这篇综述文章的目的是强调尿失禁的预测因子或易患因素；以便在临床医生做出决策时提供帮助，并制定预防策略，以降低普通人群中的尿失禁发生率。
