Lovatsis Danny, Easton William, Wilkie David
Toronto, ON.
Scarborough, ON.
J Obstet Gynaecol Can. 2017 Sep;39(9):e309-e314. doi: 10.1016/j.jogc.2017.06.009.
To provide general gynaecologists and urogynaecologists with clinical guidelines for the management of recurrent urinary incontinence after pelvic floor surgery.
Evaluation includes history and physical examination, multichannel urodynamics, and possibly cystourethroscopy. Management includes conservative, pharmacological, and surgical interventions.
These guidelines provide a comprehensive approach to the complicated issue of recurrent incontinence that is based on the underlying pathophysiological mechanisms.
Published opinions of experts, and evidence from clinical trials where available.
The quality of the evidence is rated using the criteria described by the Canadian Task Force on Preventive Health Care (Table).
为普通妇科医生和泌尿妇科医生提供盆底手术后复发性尿失禁管理的临床指南。
评估包括病史和体格检查、多通道尿动力学检查，可能还包括膀胱尿道镜检查。管理包括保守治疗、药物治疗和手术干预。
这些指南基于潜在的病理生理机制，为复发性尿失禁这一复杂问题提供了全面的处理方法。
专家发表的意见，以及现有临床试验的证据。
使用加拿大预防保健工作组描述的标准对证据质量进行评级（表）。
