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尿失禁：尿动力学检查是否有助于外科医生了解何时无需手术？

Incontinence: do urodynamics help surgeons know when not to operate?

机构信息

Imperial College London, Institute of Reproductive and Developmental Biology, Hammersmith Hospital, Du Cane Road, London W12 0NN, UK.

出版信息

Nat Rev Urol. 2012 Aug;9(8):413-4. doi: 10.1038/nrurol.2012.125. Epub 2012 Jun 12.

DOI:10.1038/nrurol.2012.125
PMID:22688962
Abstract

The results from two new randomized trials suggest that urodynamic assessment might not be necessary to select patients for stress incontinence surgery. However, whether these findings change clinical practice remains to be seen.

摘要

两项新的随机试验结果表明，尿动力学评估可能不是选择压力性尿失禁手术患者的必要条件。然而，这些发现是否会改变临床实践仍有待观察。

相似文献

1
Incontinence: do urodynamics help surgeons know when not to operate?尿失禁：尿动力学检查是否有助于外科医生了解何时无需手术？
Nat Rev Urol. 2012 Aug;9(8):413-4. doi: 10.1038/nrurol.2012.125. Epub 2012 Jun 12.
2
Protocol for the value of urodynamics prior to stress incontinence surgery (VUSIS) study: a multicenter randomized controlled trial to assess the cost effectiveness of urodynamics in women with symptoms of stress urinary incontinence in whom surgical treatment is considered.压力性尿失禁手术前尿动力学评估价值（VUSIS）研究方案：一项多中心随机对照试验，旨在评估尿动力学检查对考虑手术治疗的压力性尿失禁女性患者的成本效益。
BMC Womens Health. 2009 Jul 21;9:22. doi: 10.1186/1472-6874-9-22.
3
Do preoperative urodynamics still have a role in female stress urinary incontinence? Re: van Leijsen SA, Kluivers KB, Mol BW, et al. Can preoperative urodynamic investigation be omitted in women with stress urinary incontinence? A non-inferiority randomized controlled trial. Neurourol Urodyn 2012;31:1118–23.
Neurourol Urodyn. 2013 Nov;32(8):1144-5. doi: 10.1002/nau.22338. Epub 2013 Jul 17.
4
Re: can preoperative urodynamic investigation be omitted in women with stress urinary incontinence? A non-inferiority randomized controlled Trial.
J Urol. 2013 Aug;190(2):620. doi: 10.1016/j.juro.2013.04.100. Epub 2013 Apr 30.
5
Urodynamics before stress urinary incontinence surgery.压力性尿失禁手术前的尿动力学检查
Curr Opin Obstet Gynecol. 2014 Oct;26(5):398-403. doi: 10.1097/GCO.0000000000000093.
6
Are multichannel urodynamics required prior to surgery in a woman with stress urinary incontinence?女性压力性尿失禁患者术前是否需要进行多通道尿动力学检查？
Curr Urol Rep. 2010 Sep;11(5):323-7. doi: 10.1007/s11934-010-0127-3.
7
Urodynamics useless before surgery for female stress urinary incontinence: Are you sure? Results from a multicenter single nation database.女性压力性尿失禁手术前尿动力学检查无用：你确定吗？来自一个单一国家多中心数据库的结果
Neurourol Urodyn. 2016 Sep;35(7):809-12. doi: 10.1002/nau.22804. Epub 2015 Jun 9.
8
Editorial comment on: Tension-free vaginal tape in the management of recurrent urodynamic stress incontinence after previous failed midurethral tape.关于以下内容的编辑评论：无张力阴道吊带术用于治疗既往经阴道中段吊带术失败后的复发性尿动力学压力性尿失禁。
Eur Urol. 2009 Jun;55(6):1457-8. doi: 10.1016/j.eururo.2009.03.028. Epub 2009 Mar 13.
9
[Significance of preoperative urodynamics for clinical diagnosis of female patients with stress urinary incontinence].[术前尿动力学检查对女性压力性尿失禁患者临床诊断的意义]
Beijing Da Xue Xue Bao Yi Xue Ban. 2016 Aug 18;48(4):655-658.
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Editorial comment on: Tension-free vaginal tape in the management of recurrent urodynamic stress incontinence after previous failed midurethral tape.关于“无张力阴道吊带术治疗既往经阴道中段吊带术失败后的复发性尿动力学压力性尿失禁”的编辑评论
Eur Urol. 2009 Jun;55(6):1456-7. doi: 10.1016/j.eururo.2009.03.027. Epub 2009 Mar 13.

本文引用的文献

1
A randomized trial of urodynamic testing before stress-incontinence surgery.压力性尿失禁手术前尿动力学检查的随机试验。
N Engl J Med. 2012 May 24;366(21):1987-97. doi: 10.1056/NEJMoa1113595. Epub 2012 May 2.
2
Can preoperative urodynamic investigation be omitted in women with stress urinary incontinence? A non-inferiority randomized controlled trial.术前尿动力学检查可否在压力性尿失禁女性中被省略？一项非劣效性随机对照试验。
Neurourol Urodyn. 2012 Sep;31(7):1118-23. doi: 10.1002/nau.22230. Epub 2012 Apr 6.
3
Urodynamic studies for management of urinary incontinence in children and adults.
用于儿童和成人尿失禁管理的尿动力学研究。
Cochrane Database Syst Rev. 2012 Jan 18;1:CD003195. doi: 10.1002/14651858.CD003195.pub2.
4
Does the imprecise definition of overactive bladder serve commercial rather than patient interests?膀胱过度活动症的不精确定义是为了商业利益而非患者利益吗？
Eur Urol. 2012 Apr;61(4):746-8; discussion 749-50. doi: 10.1016/j.eururo.2011.12.013. Epub 2012 Jan 5.
5
Trends in inpatient urinary incontinence surgery in the USA, 1998-2007.1998 - 2007年美国住院患者尿失禁手术的趋势
Int Urogynecol J. 2011 Nov;22(11):1437-43. doi: 10.1007/s00192-011-1509-x. Epub 2011 Aug 17.
6
Baseline urodynamic predictors of treatment failure 1 year after mid urethral sling surgery.尿道中段吊带术后 1 年治疗失败的基线尿动力学预测因素。
J Urol. 2011 Aug;186(2):597-603. doi: 10.1016/j.juro.2011.03.105. Epub 2011 Jun 16.
7
The efficacy of the tension-free vaginal tape in the treatment of five subtypes of stress urinary incontinence.无张力阴道吊带术治疗五种压力性尿失禁亚型的疗效
Int Urogynecol J Pelvic Floor Dysfunct. 2006 Feb;17(2):120-4. doi: 10.1007/s00192-005-1371-9. Epub 2005 Oct 18.
8
Are urodynamic tests useful tools for the initial conservative management of non-neurogenic urinary incontinence? A review of the literature.尿动力学检查是否是非神经源性尿失禁初始保守治疗的有用工具？文献综述。
Eur Urol. 2003 Jan;43(1):63-9. doi: 10.1016/s0302-2838(02)00494-3.
9
Urodynamic evaluation of stress incontinence.压力性尿失禁的尿动力学评估
Urol Clin North Am. 1995 Aug;22(3):551-5.