Fernandes C E, Morita M H, Ferreira J A, da Silva E P, Wehba S
Departamento de Obstrícia e Ginecologia, Faculdade de Ciências Médicas da Santa Casa de São Paulo.
Rev Paul Med. 1990 Sep-Oct;108(5):230-5.
Urinary disorders in the postmenopausal women are important due to their high incidence and to the negative influence on the quality of life of these women. The authors make a brief review of the pathophysiology of these disorders, emphasizing the significant effects of an estrogen fall on the urinary tract during this period of life. They present a modern approach to the current diagnostic and therapeutic aspects of urinary incontinence, urinary tract infections, and urethral syndrome. They also point out the importance of systemic and/or local estrogen therapy in these different aspects, observing the benefits and risks involved in these therapeutic procedures. They comment on the treatment with antibiotics, with adrenergic and/or anticholinergic drugs, surgical treatment, and the techniques of vesical reeducation in the case of detrusor instability. They recommend that physicians should inform and offer their patients the resources above which lead to the cure and/or improvement of the urinary symptoms of those women, given them an expectation of a longer and better life.
绝经后女性的泌尿系统疾病因其高发病率以及对这些女性生活质量的负面影响而备受关注。作者简要回顾了这些疾病的病理生理学，强调了雌激素水平下降在这一生命阶段对尿路的重大影响。他们介绍了针对尿失禁、尿路感染和尿道综合征当前诊断和治疗方面的现代方法。他们还指出了全身和/或局部雌激素治疗在这些不同方面的重要性，同时观察了这些治疗方法所涉及的益处和风险。他们对使用抗生素、肾上腺素能和/或抗胆碱能药物治疗、手术治疗以及逼尿肌不稳定情况下的膀胱再训练技术进行了评论。他们建议医生应告知并为患者提供上述有助于治愈和/或改善这些女性泌尿症状的资源，使她们对更长、更美好的生活抱有期望。
