Mount Auburn Hospital, Cambridge.
Harvard Medical School, Boston, Massachusetts.
Clin Obstet Gynecol. 2021 Jun 1;64(2):287-296. doi: 10.1097/GRF.0000000000000616.
Stress urinary incontinence is a common condition in women potentially affecting women of any age including young women who have not yet completed childbearing. It is important to consider the impact on quality of life and offer treatment to those experiencing bother. There are several effective nonsurgical treatments for women before considering more invasive or definitive intervention. There is good data on lifestyle and behavioral changes which are often first-line recommendations. Data is also strong for pelvic muscle training and strengthening. Pessary supportive devices also play a role. Additional options also exist for limited indications.
压力性尿失禁是一种常见的女性疾病，可能影响任何年龄段的女性，包括尚未完成生育的年轻女性。重要的是要考虑对生活质量的影响，并为那些有困扰的患者提供治疗。对于那些有困扰的患者，在考虑更具侵入性或确定性干预之前，有几种有效的非手术治疗方法。对于生活方式和行为改变，有很好的数据，这些改变通常是一线推荐。对于盆底肌肉训练和加强，也有强有力的数据支持。子宫托等支持性设备也有一定作用。对于有限的适应症，还存在其他选择。
