Ouslander J G, Hepps K, Raz S, Su H L
J Am Geriatr Soc. 1986 Jul;34(7):507-14. doi: 10.1111/j.1532-5415.1986.tb04242.x.
Clinical and urodynamic findings in 167 women and 96 men, aged 65 years and older evaluated consecutively during a four-year period in an outpatient urodynamic laboratory, are presented and compared with findings from other studies of geriatric populations. Seventy-three percent of the patients (81% of the women and 60% of the men) presented with symptoms of incontinence, most commonly of the mixed type. Although pathological lesions such as tumors and stones were rare, urodynamic abnormalities were common. Urodynamic evidence of sphincter weakness in women and detrusor motor instability were the most common urodynamic findings among patients who presented with incontinence. Close to 20% of patients who presented without incontinence also had one or more of these findings. Approximately one-third of patients had multiple urodynamic findings, emphasizing the complexity of the pathophysiology, diagnosis, and treatment of genitourinary dysfunction in many geriatric patients. Despite the long duration of symptoms in most patients, the majority were substantially improved after diagnosis and treatment of the specific genitourinary and urodynamic abnormalities detected.
在一家门诊尿动力学实验室对167名65岁及以上女性和96名65岁及以上男性进行了为期四年的连续评估，呈现了其临床和尿动力学检查结果，并与其他老年人群研究结果进行了比较。73%的患者（女性患者中的81%和男性患者中的60%）出现了失禁症状，最常见的是混合型。虽然肿瘤和结石等病理性病变很少见，但尿动力学异常却很常见。在出现失禁的患者中，女性括约肌无力和逼尿肌运动不稳定的尿动力学证据是最常见的尿动力学检查结果。近20%没有失禁症状的患者也有这些发现中的一项或多项。约三分之一的患者有多项尿动力学检查结果，这凸显了许多老年患者泌尿生殖功能障碍的病理生理学、诊断和治疗的复杂性。尽管大多数患者症状持续时间较长，但在诊断和治疗所发现的特定泌尿生殖和尿动力学异常后，大多数患者有了显著改善。
