Cardozo L, Cutner A
Department of Urogynaecology, King's College Hospital, London, UK.
Br J Urol. 1997 Jul;80 Suppl 1:14-23.
Lower urinary tract symptoms are almost universal in the antenatal period and in most cases are transient. Retention of urine is one of the few conditions which must be treated as there may be long-term consequences. The symptoms of frequency and stress incontinence are those which have been most examined in pregnancy. It would appear that the former have no long-term sequelae but the latter may be an indicator of potential sphincter damage during delivery. The recent documentation of detrusor instability antenatally further confuses the picture and demonstrates the need for functional studies to determine the exact significance of these lower urinary tract symptoms.
下尿路症状在孕期几乎普遍存在,且多数情况下是短暂的。尿潴留是少数必须治疗的情况之一,因为可能会有长期后果。尿频和压力性尿失禁症状是孕期研究最多的症状。似乎前者没有长期后遗症,但后者可能是分娩期间潜在括约肌损伤的一个指标。最近关于产前逼尿肌不稳定的文献进一步使情况变得复杂,并表明需要进行功能研究来确定这些下尿路症状的确切意义。