Gillon G, Savir A, Nissenkorn I, Servadio C
Department of Urology, Beilinson Medical Center, Petah Tikva, Israel.
Isr J Med Sci. 1989 Jan;25(1):25-7.
Urinary incontinence among the elderly is a major problem that is often neglected. The results of urodynamic studies in a group of 32 women greater than 80 years old with incontinence revealed that detrusor instability was the primary cause of incontinence in 23 (72%), while 9 (28%) patients demonstrated signs of sphincter incompetence. Urodynamic study results were normal in four patients. Medical treatment on a self-regulated dose and bladder training were effective in controlling incontinence in 25 (78%) of the study group. It is suggested that, although detrusor instability is the major cause of incontinence in elderly women, urodynamic studies should be performed for accurate diagnosis to ensure optimal therapeutic results.
老年人尿失禁是一个常被忽视的主要问题。对一组32名80岁以上有尿失禁症状的女性进行尿动力学研究的结果显示，23名（72%）患者的逼尿肌不稳定是尿失禁的主要原因，而9名（28%）患者表现出括约肌功能不全的迹象。4名患者的尿动力学研究结果正常。自行调整剂量的药物治疗和膀胱训练对研究组中25名（78%）患者的尿失禁控制有效。建议尽管逼尿肌不稳定是老年女性尿失禁的主要原因，但仍应进行尿动力学研究以准确诊断，确保获得最佳治疗效果。
