Milani A L, Vierhout M E
Reinier de Graaf Gasthuis, afd. Obstetrie en Gynaecologie, Delft.
Ned Tijdschr Geneeskd. 1995 Sep 16;139(37):1884-8.
Assessment of modalities in diagnosis and treatment of female urinary incontinence by Dutch gynaecologists.
Written questionnaire.
All officially registered Dutch gynaecological practices.
All 138 gynaecological practices were sent a multiple choice questionnaire. One representative of the practice was requested to respond. Differences were evaluated using the chi 2 test.
The response was 87% (93% of the teaching hospitals and 86% of the non-teaching hospitals). Diagnostic and treatment modalities of female urinary incontinence by Dutch gynaecologists proved to vary. Urodynamics are primarily under control of urologists. The Burch colposuspension as operative treatment of stress incontinence is fairly popular among Dutch gynaecologists, but the less successful anterior colporrhaphy with Kelly plication is also still performed rather frequently. Co-operation between gynaecologist and urologist is mainly practised in teaching hospitals at meetings at which patient histories and urodynamics are discussed.
There is need for systematism in diagnosis and treatment of female urinary incontinence and for intensification of co-operation between gynaecologists and urologists. Adequate training and postgraduate teaching courses in diagnosis and treatment of female urinary incontinence should be provided for both specialisms.
荷兰妇科医生对女性尿失禁诊断和治疗方式的评估。
书面问卷。
荷兰所有官方注册的妇科诊所。
向所有138家妇科诊所发送了一份多项选择题问卷。要求每家诊所派一名代表作答。使用卡方检验评估差异。
回复率为87%（教学医院为93%，非教学医院为86%）。事实证明，荷兰妇科医生对女性尿失禁的诊断和治疗方式各不相同。尿动力学主要由泌尿科医生掌控。Burch阴道悬吊带术作为压力性尿失禁的手术治疗方法在荷兰妇科医生中相当受欢迎，但效果较差的前路阴道壁修补术加凯利折叠术仍相当频繁地被实施。妇科医生和泌尿科医生之间的合作主要在教学医院讨论患者病史和尿动力学的会议上进行。
女性尿失禁的诊断和治疗需要系统化，并且需要加强妇科医生和泌尿科医生之间的合作。应为这两个专业提供关于女性尿失禁诊断和治疗的充分培训及研究生教学课程。
