Kaufmann A
Zentrum für Kontinenz und Neuro-Urologie, Kliniken Maria Hilf GmbH, Akademisches Lehrkrankenhaus der Uniklinik RWTH Aachen, Viersener Straße 450, 41063, Mönchengladbach, Deutschland.
Urologe A. 2017 Dec;56(12):1539-1547. doi: 10.1007/s00120-017-0530-1.
Surgery is often necessary after failure of conservative therapy for urinary incontinence. Guidelines recommend urodynamic studies before surgery. A distinction is made between non-invasive (uroflowmetry) and invasive methods (cystometry and pressure-flow study, if necessary as combined videourodynamics, as well as urethral pressure profile). All examinations serve to objectify and quantify the symptoms, to correctly assign symptoms to the pathophysiology and anatomy as well as to identify risk factors, which often have a significant influence on the success of surgical therapy. Given appropriate experience, complications and often significant sequelae of bladder dysfunction affecting the patient's quality of life and life expectancy can be recognized. Urodynamic studies are performed to help narrow down potential diagnoses, to develop therapeutic strategies, and to obtain prognostic parameters. The following article is intended to provide some support.
对于尿失禁，保守治疗失败后通常需要进行手术。指南建议在手术前进行尿动力学检查。检查方法分为非侵入性（尿流率测定）和侵入性方法（膀胱测压和压力-流率研究，必要时联合影像尿动力学，以及尿道压力分布测定）。所有检查旨在使症状客观化和量化，将症状正确归因于病理生理学和解剖学，并识别危险因素，这些因素通常对手术治疗的成功有重大影响。凭借适当的经验，可以识别影响患者生活质量和预期寿命的膀胱功能障碍并发症及通常较为严重的后遗症。进行尿动力学检查有助于缩小潜在诊断范围、制定治疗策略并获得预后参数。以下文章旨在提供一些帮助。
