Sazonova N A, Kiseleva M G, Gadzhieva Z K, Gvozdev M Yu
A.I. Evdokimov Moscow State University of Medicine and Dentistry of Minzdrav of Russia.
Municipal clinical hospital named after S.I. Spasokukotskiy of the Moscow Healthcare Department, Moscow, Russia.
Urologiia. 2022 May(2):136-139.
The prevalence of urinary incontinence at a young age is 20-30%, gradually increasing to 40% among older women. Urinary incontinence affects many areas of the patient's life, including social, psychological, work, sexual, etc. The main causative factors, which also influence on its severity, include age, pregnancy, childbirth and obesity. To date, there are many treatment methods for stress urinary incontinence. However, more preference is given to the sling procedures, in which mesh is placed under the middle part of the urethra. Despite being the "gold" standard for the treatment of stress urinary incontinence, it is difficult to determine indications for surgical treatment, since "nonmedical" view of the patient's problem is often required. The low awareness of primary care physicians about the possibilities of treating urinary incontinence often leads to an erroneous opinion in patients about their disease and methods of treatment. Many patients regard this condition as an integral part of aging, avoid situations in which urinary incontinence is possible, which limits daily activities, sexual activity, sports and other areas of life. Based on the latest data, a review of the literature on urinary incontinence in women, risk factors, as well as existing methods of surgical correction are presented in the lecture. Particular attention is paid to the impact of urinary incontinence on the quality of life of patients and current methods for its assessment.
年轻时尿失禁的患病率为20%-30%,老年女性中这一比例逐渐升至40%。尿失禁会影响患者生活的诸多方面,包括社交、心理、工作、性等方面。主要致病因素(也会影响其严重程度)包括年龄、怀孕、分娩和肥胖。目前,压力性尿失禁有多种治疗方法。然而,吊带手术更受青睐,即在尿道中部下方放置网片。尽管这是治疗压力性尿失禁的“金”标准,但由于通常需要从“非医学”角度看待患者问题,所以难以确定手术治疗的适应症。初级保健医生对尿失禁治疗可能性的认知不足,常常导致患者对自身疾病及其治疗方法产生错误看法。许多患者将这种情况视为衰老的一个固有部分,避免可能发生尿失禁的情况,这限制了日常活动、性活动、运动及生活的其他方面。基于最新数据,本次讲座对女性尿失禁的文献、风险因素以及现有的手术矫正方法进行了综述。特别关注了尿失禁对患者生活质量的影响以及当前对其评估的方法。