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压力性尿失禁或盆腔器官脱垂的终身手术风险。

Lifetime risk of surgery for stress urinary incontinence or pelvic organ prolapse.

作者信息

Wilkins Maggie F, Wu Jennifer M

机构信息

Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC, USA -

Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC, USA.

出版信息

Minerva Ginecol. 2017 Apr;69(2):171-177. doi: 10.23736/S0026-4784.16.04011-9. Epub 2016 Dec 21.

Abstract

Understanding and applying the epidemiology and lifetime risk of surgery for stress urinary incontinence (SUI) and pelvic organ prolapse (POP) is necessary to provide quality care to a growing and aging female population. Both SUI and POP are prevalent medical conditions, affecting 15-17% and 3-6% of women respectively. While generally not life-threatening, they represent a significant public health burden as they are associated with a decreased quality of life and significant economic impact. Although treatment is considered elective, for many women, the decision to address SUI or POP is necessary in order to regain a normal lifestyle and the lifetime risk for undergoing surgery to address either stress urinary incontinence or pelvic organ prolapse is 20.5%. This review includes a brief overview of the epidemiology of both disorders, followed by discussion of both landmark and recent literature regarding the lifetime risk of surgery for either disorder. Additionally, we will review re-operation rates, trends in management, and future care needs.

摘要

了解并应用压力性尿失禁(SUI)和盆腔器官脱垂(POP)的流行病学及终生手术风险,对于为不断增长的老龄女性群体提供优质护理至关重要。SUI和POP都是常见的病症,分别影响15% - 17%和3% - 6%的女性。虽然通常不会危及生命,但它们会导致生活质量下降并产生重大经济影响,从而构成了一项重大的公共卫生负担。尽管治疗被视为选择性的,但对许多女性而言,为了恢复正常生活方式,决定治疗SUI或POP是必要的,而接受手术治疗压力性尿失禁或盆腔器官脱垂的终生风险为20.5%。本综述包括对这两种病症流行病学的简要概述,随后讨论关于这两种病症手术终生风险的标志性及近期文献。此外,我们还将回顾再次手术率、管理趋势及未来护理需求。

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