University Hospitals Cleveland Medical Center, Cleveland, Ohio.
Clin Obstet Gynecol. 2021 Jun 1;64(2):306-313. doi: 10.1097/GRF.0000000000000619.
Urinary incontinence (UI) is a prevalent disorder that significantly affects quality of life. This article reviews management of urgency and mixed UI by breaking the management algorithm down into observation, lifestyle and behavioral changes, pharmacologic therapy, and procedural management. Stress UI is best managed with mid-urethral slings and is covered in other chapters. Behavioral and pharmacologic management are equally efficacious for urgency UI, but procedural therapy is superior. Mixed UI is conventionally treated by first managing whichever UI subtype is most bothersome. The management of overflow UI is directed at its underlying etiology: detrusor underactivity or bladder outlet obstruction.
尿失禁（UI）是一种普遍存在的疾病，严重影响生活质量。本文通过将管理算法分解为观察、生活方式和行为改变、药物治疗和程序管理，来回顾急迫性和混合性 UI 的管理。压力性 UI 最好通过中尿道吊带进行管理，详见其他章节。行为和药物管理对急迫性 UI 同样有效，但程序治疗更优。混合性 UI 通常通过首先管理最令人困扰的 UI 亚型来进行治疗。对于充盈性 UI 的管理，针对的是其潜在病因：逼尿肌活动低下或膀胱出口梗阻。
