Murphy Alana, Teplitsky Seth, Das Akhil K, Leong Joon Yau, Margules Andrew, Lallas Costas D
Department of Urology, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, PA.
Rom J Intern Med. 2019 Sep 1;57(3):220-232. doi: 10.2478/rjim-2019-0009.
A significant workforce shortage of urologists available to serve the US population has been projected to occur over the next decade. Accordingly, much of the management of urologic patients will need to be assumed by other specialties and practitioners. Since primary care physicians are often first evaluate common urologic complaints, it makes sense that these physicians are in an excellent position to intervene in the management of these patients when appropriate. One of the most common complaints in urology is voiding dysfunction. The incidence of voiding dysfunction increases with age, with conservative estimates showing that over 50% of elderly patients suffer. Despite this high prevalence and its negative impact on quality of life, however, few seek or receive treatment, as many do not readily disclose these impactful yet personal symptoms. We sought to summarize the typical presentation, evaluation, assessment and therapeutic options for both male and female patients presenting with voiding dysfunction.
预计在未来十年，美国将出现泌尿外科医生严重短缺的情况，无法满足美国民众的需求。因此，泌尿外科患者的大部分管理工作将需要由其他专科和从业者承担。由于初级保健医生通常是首先评估常见泌尿外科症状的人，所以当情况适当时，这些医生完全有能力介入这些患者的管理，这是合乎情理的。排尿功能障碍是泌尿外科最常见的症状之一。排尿功能障碍的发病率随年龄增长而增加，保守估计显示超过50%的老年患者受此困扰。然而，尽管其患病率很高且对生活质量有负面影响，但很少有人寻求或接受治疗，因为许多人不愿意透露这些有影响且私密的症状。我们试图总结出现排尿功能障碍的男性和女性患者的典型症状、评估、诊断及治疗选择。
