Obstet Gynecol. 2014 Jun;123(6):1403-1407. doi: 10.1097/01.AOG.0000450759.34453.31.
Stress urinary incontinence (SUI) is a condition of involuntary loss of urine on effort, physical exertion, sneezing, or coughing that is often bothersome to the patient and frequently affects quality of life. When women are evaluated for SUI, counseling about treatment should begin with conservative options. The minimum evaluation before primary midurethral sling surgery in women with symptoms of SUI includes the following six steps: 1) history, 2) urinalysis, 3) physical examination, 4) demonstration of stress incontinence, 5) assessment of urethral mobility, and 6) measurement of postvoid residual urine volume. For women with uncomplicated SUI in whom conservative treatment has failed and who desire midurethral sling surgery, evidence indicates that the performance of preoperative multichannel urodynamic testing versus a basic evaluation does not affect treatment outcomes. However, women who have complicated SUI may benefit from multichannel urodynamic testing and other diagnostic tests before initiation of treatment, especially surgery. Clinical judgment should guide the health care provider's decision to perform preoperative multichannel urodynamic testing or to refer to a specialist with appropriate training and experience in female pelvic medicine and reconstructive surgery.
压力性尿失禁（SUI）是一种不自主的尿液流失，发生在用力、体力活动、打喷嚏或咳嗽时，常常令患者感到困扰，并经常影响生活质量。当女性因 SUI 接受评估时，应首先考虑保守治疗方案。对于有 SUI 症状的女性，在进行初级中段尿道吊带手术之前，最低限度的评估包括以下六个步骤：1）病史，2）尿液分析，3）体格检查，4）压力性尿失禁的演示，5）尿道移动度评估，6）残余尿量测量。对于保守治疗失败且希望接受中段尿道吊带手术的单纯性 SUI 女性，有证据表明，术前进行多通道尿动力学检查与基本评估相比，并不会影响治疗效果。然而，对于复杂性 SUI 女性，在开始治疗（尤其是手术治疗）之前，多通道尿动力学检查和其他诊断性检查可能会获益。临床判断应指导医疗保健提供者决定进行术前多通道尿动力学检查或转介给具有女性盆底医学和重建手术适当培训和经验的专家。
