Jiang Yuan-Hong, Kuo Hann-Chorng
Department of Urology, Buddhist Tzu Chi General Hospital and Tzu Chi University, Hualien, Taiwan.
Tzu Chi Med J. 2017 Apr-Jun;29(2):72-78. doi: 10.4103/tcmj.tcmj_19_17.
Although evidence shows that urodynamic study may not improve outcomes, it can be used to evaluate men with lower urinary tract symptoms (LUTSs) which have not been adequately delineated and treated. In young men with LUTS not responding to treatment based on clinical examination, or elderly men with LUTS and incontinence, a complete urodynamic evaluation is mandatory to understand the pathophysiology underlying LUTS, such as bladder outlet obstruction (BOO), detrusor overactivity, and detrusor underactivity. Preoperative urodynamic study-proven BOO is a predictor of a successful surgical outcome. An urodynamic study should be performed when patients with LUTS are planning to undergo surgical treatment for benign prostatic obstruction.
尽管有证据表明尿动力学检查可能无法改善治疗结果，但它可用于评估下尿路症状（LUTS）未得到充分描述和治疗的男性患者。对于经临床检查治疗无效的年轻LUTS男性患者，或患有LUTS和尿失禁的老年男性患者，必须进行全面的尿动力学评估，以了解LUTS的病理生理学机制，如膀胱出口梗阻（BOO）、逼尿肌过度活动和逼尿肌活动不足。术前经尿动力学检查证实的BOO是手术成功结果的预测指标。当LUTS患者计划接受良性前列腺梗阻的手术治疗时，应进行尿动力学检查。
