Lousquy R, Jean-Baptiste J, Barranger E, Hermieux J-F
Service de gynécologie obstétrique, université Paris Diderot, Sorbonne Paris Cité, hôpital Lariboisière, AP-HP, 2, rue Ambroise-Paré, 75010 Paris, France; Service de gynécologie obstétrique, université Paris Est, Paris XII, hôpital Intercommunal de Créteil, 40, avenue de Verdun, 94000 Créteil, France.
Service d'urologie, université Paris Diderot, Sorbonne Paris Cité, hôpital Bichat, AP-HP, 46, rue Henri-Huchard, 75018 Paris, France.
Gynecol Obstet Fertil. 2014 Sep;42(9):597-603. doi: 10.1016/j.gyobfe.2014.04.011. Epub 2014 Jul 1.
Women are more attentive to their physical appearance and a quarter of French women use to practice a regular physical activity. Benefits of sport on general health are recognized. However, sport may be the cause of various diseases when it is poorly chosen or improperly performed. In literature, intensive exercise is a risk factor for urinary incontinence, defined as "the complaint of any involuntary leakage of urine". It is essentially stress urinary incontinence, occurring because of the phenomenon of intrabdominal hyperpressure, inherent with certain activities, and excess capacity of sphincters. Some sports are more risky than others, and high-level sportswomen are the most exposed. Health professionals must invest in information, screening, prevention, counseling and treatment track athletes So, the general practitioner and the doctor of sports play a vital role in informing, screening, prevention, therapeutic and monitoring of sportswomen. Better information is needed because according to the severity of incontinence and its impact, there are simple, effective, more or less invasive treatment options. The aim of this study was to establish an inventory of scientific knowledge and to improve the management of these patients.
女性更关注自己的外貌,四分之一的法国女性习惯定期进行体育活动。运动对总体健康的益处是公认的。然而,当运动选择不当或执行不当时,可能会引发各种疾病。在文献中,高强度运动是尿失禁的一个风险因素,尿失禁被定义为“任何不自主漏尿的症状”。主要是压力性尿失禁,其发生是由于腹内高压现象,这与某些活动相关,以及括约肌功能亢进。有些运动比其他运动风险更大,高水平女运动员受影响最大。健康专业人员必须投入精力对田径运动员进行信息提供、筛查、预防、咨询和治疗。因此,全科医生和运动医生在为女性运动员提供信息、筛查、预防、治疗和监测方面发挥着至关重要的作用。由于根据尿失禁的严重程度及其影响,有简单、有效、或多或少具有侵入性的治疗选择,所以需要更好的信息。本研究的目的是建立科学知识清单并改善这些患者的管理。