Department of Neurology, University of Miami Miller School of Medicine, 1150 Northwest 14th Street, Suite 609, Miami, FL 33136, USA.
Department of Neurology, University of Miami Miller School of Medicine, 1150 Northwest 14th Street, Suite 609, Miami, FL 33136, USA; Parkinson Disease and Movement Disorders Center of Boca Raton, 951 Northwest 13th Street, Suite 5E, Boca Raton, FL 33486, USA.
Clin Geriatr Med. 2020 Feb;36(1):69-80. doi: 10.1016/j.cger.2019.09.011. Epub 2019 Sep 10.
Parkinson disease (PD) is a complex of motor and nonmotor symptoms. Among the nonmotor symptoms, urinary and sexual dysfunctions are common and negatively affect the quality of life. More than 50% of patients with PD complain of urinary dysfunction and 20% have sexual dysfunction. Understanding the anatomy and physiology of the urogenital system informs the rationale for the mechanism of action of drug therapies. The management of urinary and sexual dysfunction in PD, including behavioral, medical, and procedural interventions, is reviewed in this article.
帕金森病(PD)是一种运动和非运动症状的综合体。在非运动症状中,尿和性功能障碍很常见,并对生活质量产生负面影响。超过 50%的 PD 患者抱怨存在尿功能障碍,20%的患者存在性功能障碍。了解泌尿生殖系统的解剖和生理学可以为药物治疗的作用机制提供依据。本文综述了 PD 患者尿和性功能障碍的管理,包括行为、药物和程序干预。