Birmingham/Atlanta VA Geriatric Research Education and Clinical Center and Emory University, Atlanta, Georgia (C.P.V.).
Birmingham/Atlanta VA Geriatric Research Education and Clinical Center and University of Alabama at Birmingham, Birmingham, Alabama (A.D.M.).
Ann Intern Med. 2020 Feb 4;172(3):ITC17-ITC32. doi: 10.7326/AITC202002040.
Urinary incontinence (UI) is common among women and contributes to decreased quality of life. Several effective treatment options are available for the most common types of UI (stress, urge, and mixed), including lifestyle and behavioral therapy, drug therapy, and minimally invasive procedures. Most women improve with treatment, and UI is not an inevitable part of aging. To maximize the opportunity for successful treatment, it is critical to align the treatment approach with patient goals and expectations for care, including an assessment of patient-driven priorities regarding potential adverse effects, costs, and expected benefit of different treatment approaches.
尿失禁(UI)在女性中很常见,会降低生活质量。对于最常见的 UI 类型(压力性、急迫性和混合性),有几种有效的治疗选择,包括生活方式和行为疗法、药物治疗和微创治疗。大多数女性经过治疗后会有所改善,UI 并不是衰老的必然组成部分。为了最大限度地提高治疗成功的机会,关键是要使治疗方法与患者的目标和护理期望保持一致,包括评估患者对不同治疗方法的潜在不良影响、成本和预期获益的优先考虑。