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波兰妇产科医师学会尿失禁学组关于女性压力性尿失禁诊断评估的指南。

The Urogynecology Section of the Polish Society of Gynecologists and Obstetricians Guideline for the diagnostic assessment of stress urinary incontinence in women.

机构信息

Department of Operative Gynecology and Gynecologic Oncology, I Department of Gynecology and Obstetrics, Medical University of Lodz.

Department of Gynecology, Gynecological Oncology and Gynecological Endocrinology, Medical University of Gdansk, Poland.

出版信息

Ginekol Pol. 2023;94(4):330-336. doi: 10.5603/GP.a2021.0256. Epub 2022 Mar 22.

Abstract

OBJECTIVES

The aim of the Urogynecology Section of the Polish Society of Gynecologists and Obstetricians (PSGO) was to develop an updated Guideline for the diagnostic assessment of stress urinary incontinence (SUI) in women.

MATERIAL AND METHODS

Earlier PSGO guidelines and the literature about the diagnostic assessment of SUI, including current international guidelines, were reviewed.

RESULTS

As in the earlier guidelines, the diagnostic process was subdivided into the initial and the specialized diagnostics. Patients who required specialized diagnostic testing were identified. Functional diagnostic tests, performed by physiotherapists, were included. Attention was paid to new diagnostic possibilities.

CONCLUSIONS

Initial diagnostic assessment is sufficient to devise the optimal treatment plan in a number of patients. It also allows to identify which patients will require specialized diagnostics, whose scope is individually tailored to the patient needs and depends on symptom complexity, surgical history, treatment plan, experience of the physician, availability of the equipment, and cost-effectiveness ratio.

摘要

目的

波兰妇产科医师学会(PSGO)泌尿妇科分会旨在制定更新的女性压力性尿失禁(SUI)诊断评估指南。

材料与方法

回顾了 PSGO 之前的指南以及关于 SUI 诊断评估的文献,包括当前的国际指南。

结果

与之前的指南一样,诊断过程分为初始诊断和专业诊断。确定了需要进行专业诊断测试的患者。纳入了由物理治疗师进行的功能性诊断测试。还关注了新的诊断可能性。

结论

初始诊断评估足以制定许多患者的最佳治疗计划。它还可以确定哪些患者需要专业的诊断,其范围是根据患者的需求个体化定制的,取决于症状的复杂性、手术史、治疗计划、医生的经验、设备的可用性以及成本效益比。

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