Eckford S D, Jackson S R, Lewis P A, Abrams P
Department of Urodynamics, Southmead Hospital, Bristol, UK.
Br J Urol. 1996 Apr;77(4):538-40. doi: 10.1046/j.1464-410x.1996.94310.x.
To assess the use of an external urethral occlusion pad (the continence control pad, CCP) in the management of stress incontinence.
Nineteen women (median age 47 years, range 36-72) complaining of stress incontinence were taught to use the CCP. The patients were assessed during the week before, and again after using the CCPs for 2 weeks, by urinary diaries, pad-tests and a review of their symptoms.
Use of the CCP was associated with a cure or improvement in 17 women, as assessed by the number of incontinent episodes per week. There was a significant decrease in both the number of incontinent episodes (P < 0.001) and pad-test leakage (P = 0.002) when using the CCP. Minor difficulties in placement and removal were described in a minority of women.
The CCP offers a simple, non-invasive treatment for women complaining of stress incontinence. The short-term success rate was better than that with other conservative methods of treatment, is independent of the general practitioner and safe. It is a promising home-based method of managing stress incontinence.
评估外用尿道阻塞垫(控尿垫,CCP)在压力性尿失禁管理中的应用。
指导19名主诉压力性尿失禁的女性(中位年龄47岁,范围36 - 72岁)使用CCP。通过尿日记、护垫试验及症状复查,在使用CCP前一周及使用2周后对患者进行评估。
根据每周尿失禁发作次数评估,17名女性使用CCP后病情治愈或改善。使用CCP时,尿失禁发作次数(P < 0.001)和护垫试验漏尿量(P = 0.002)均显著减少。少数女性描述了放置和取下时有轻微困难。
CCP为主诉压力性尿失禁的女性提供了一种简单、无创的治疗方法。短期成功率优于其他保守治疗方法,不依赖全科医生且安全。它是一种有前景的居家管理压力性尿失禁的方法。