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女性压力性尿失禁保守治疗的全面综述:进展、疗效及未来方向

A comprehensive review of conservative therapies for female stress urinary incontinence: Advancements, efficacy, and future directions.

作者信息

Luo Can, Niu Xiaoyu

机构信息

Department of Gynecology and Obstetrics, West China Second Hospital, Sichuan University, Chengdu, China.

Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education, Chengdu, China.

出版信息

Curr Urol. 2025 Mar;19(2):84-89. doi: 10.1097/CU9.0000000000000270. Epub 2025 Jan 21.

Abstract

Pelvic floor dysfunction poses a significant challenge to women worldwide. Female urinary incontinence is one of the most prevalent types of pelvic floor dysfunctions, affecting at least 50% of females, particularly those who are pregnant or menopausal. Among the various urinary incontinence subtypes, stress urinary incontinence takes the lead, characterized by involuntary urine leakage during activities that increase intra-abdominal pressure, such as sneezing, coughing, laughing, or exercising. This comprehensive review explores the latest advancements and critical insights into conservative treatments for stress urinary incontinence. Stress urinary incontinence symptoms result in profound physical and psychological consequences for individuals and impose a substantial medical and economic burden on society; however, only 5%-10% seek professional help. This narrative review meticulously examines a spectrum of interventions, ranging from lifestyle modifications to emerging modalities, such as laser treatment and electroacupuncture.

摘要

盆底功能障碍给全球女性带来了重大挑战。女性尿失禁是最常见的盆底功能障碍类型之一,至少影响50%的女性,尤其是孕妇或绝经女性。在各种尿失禁亚型中,压力性尿失禁最为常见,其特征是在增加腹内压的活动(如打喷嚏、咳嗽、大笑或运动)期间出现不自主漏尿。本综述探讨了压力性尿失禁保守治疗的最新进展和关键见解。压力性尿失禁症状给患者带来了严重的身体和心理后果,并给社会带来了巨大的医疗和经济负担;然而,只有5%-10%的患者寻求专业帮助。本叙述性综述详细研究了一系列干预措施,从生活方式改变到新兴治疗方法,如激光治疗和电针治疗。

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