Vogel S L
Department of Internal Medicine, Ochsner Clinic and Alton Ochsner Medical Foundation, New Orleans, LA.
Ochsner J. 2001 Oct;3(4):214-8.
Probably 20% of community dwelling older adults have enough incontinence to limit some aspect of their lives. Affected individuals go to great lengths to deny and hide urinary incontinence, which can pose physical and psychosocial impediments to the enjoyment of life. There are differing pathophysiologies of incontinence and what helps one type may not help and may in fact worsen another. Problems of incontinence can be associated with major neurological damage or can be functional or iatrogenic. This article reviews the more commonly presenting forms of urinary incontinence (acute, chronic, urge, overflow, and stress incontinence) including treatment options and the role of the incontinence specialist.
大概20%居住在社区的老年人存在足够严重的尿失禁问题，从而在生活的某些方面受到限制。受影响的个体竭尽全力否认并隐瞒尿失禁情况，这可能对享受生活造成身体和心理社会方面的阻碍。尿失禁有不同的病理生理学机制，对一种类型有效的方法可能对另一种无效，甚至可能实际上使另一种情况恶化。尿失禁问题可能与严重的神经损伤相关，也可能是功能性的或医源性的。本文综述了更常见的尿失禁表现形式（急性、慢性、急迫性、充溢性和压力性尿失禁），包括治疗选择以及尿失禁专科医生的作用。
