Department of Urology, University of Michigan, 3875 Taubman Center, 1500 E. Medical Center Drive, Ann Arbor, MI 48109-5330, USA.
Ther Adv Urol. 2013 Aug;5(4):181-7. doi: 10.1177/1756287213489720.
Urinary incontinence is a common problem in both men and women. This review article addresses its prevalence, risk factors, cost, the various types of incontinence, as well as how to diagnose them. The US Preventive Services Task Force, the Cochrane Database of Systematic Reviews, and PubMed were reviewed for articles focusing on urinary incontinence. Incontinence is a common problem with a high societal cost. It is frequently underreported by patients so it is appropriate for primary-care providers to screen all women and older men during visits. A thorough history and physical examination combined with easy office-based tests can often yield a clear diagnosis and rule out other transient illnesses contributing to the incontinence. Specialist referral is occasionally needed in specific situations before embarking on a treatment plan.
尿失禁是男性和女性中常见的问题。本文综述了其患病率、危险因素、成本、各种类型的尿失禁,以及如何诊断它们。美国预防服务工作组、Cochrane 系统评价数据库和 PubMed 审查了有关尿失禁的文章。尿失禁是一个常见的问题,社会成本很高。患者经常漏报,因此初级保健提供者在就诊时对所有女性和老年男性进行筛查是合适的。详细的病史和体格检查结合简单的基于办公室的测试通常可以得出明确的诊断,并排除导致尿失禁的其他短暂疾病。在开始治疗计划之前,在某些特定情况下,偶尔需要专家转诊。