Department of Urology, University of Texas-Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390-9110, USA.
Curr Urol Rep. 2012 Oct;13(5):379-84. doi: 10.1007/s11934-012-0270-0.
Despite technical and procedural advances in urodynamics over the past decade, the role of urodynamics in women with stress urinary incontinence (SUI) remains controversial. Many of these advancements have been the result of multicentric studies in the United States, such as the UITN and PFDN, which will be highlighted in this article. It appears to be the consensus that urodynamics may not be needed in pure stress incontinence. Urodynamics can be valuable in unmasking stress urinary incontinence in prolapse, although its impact on the ultimate management of occult incontinence remains debated. This article reviews the indications for urodynamic testing in women with SUI but will exclude more complex conditions such as mixed or recurrent incontinence which are outside the scope of this review.
尽管过去十年中尿动力学技术和程序取得了进步，但尿动力学在压力性尿失禁（SUI）女性中的作用仍然存在争议。这些进步中的许多都是美国多中心研究的结果，例如 UITN 和 PFDN，本文将重点介绍这些研究。似乎大家的共识是，单纯的压力性尿失禁可能不需要进行尿动力学检查。尿动力学检查可以帮助发现脱垂患者中的压力性尿失禁，但它对隐匿性尿失禁的最终管理的影响仍存在争议。本文回顾了 SUI 女性进行尿动力学检查的适应证，但将排除混合性或复发性尿失禁等更复杂的情况，这些情况不在本综述的范围内。
