Glavind K, Mouritsen A L, Lose G
Aalborg Sygehus, obstetrisk/gynaekologisk afdeling.
Ugeskr Laeger. 1998 Jan 5;160(2):157-62.
Urinary incontinence has a great impact on the quality of life in many patients. This article gives simple regulations and advice which can improve the situation. The treatment of stress- and urge incontinence is discussed. In stress incontinence conservative treatment in the form of pelvic floor muscle exercise should always be the first choice of treatment. This treatment can be aided by biofeedback, cones or electrostimulation. Mechanical devices and pharmacological treatment is another option. Different surgical methods are discussed. Urge incontinence can be treated with bladder drill, biofeedback, hypnosis, acupuncture, pharmacological treatment electrostimulation or rarely surgery. Any treatment should consider the expectations and motivation of the patient and the need for treatment.
尿失禁对许多患者的生活质量有很大影响。本文给出了一些简单的规则和建议,可改善这种情况。文中讨论了压力性尿失禁和急迫性尿失禁的治疗方法。对于压力性尿失禁,盆底肌肉锻炼形式的保守治疗应始终是首选治疗方法。这种治疗可辅以生物反馈、阴道球或电刺激。机械装置和药物治疗是另一种选择。文中还讨论了不同的手术方法。急迫性尿失禁可通过膀胱训练、生物反馈、催眠、针灸、药物治疗、电刺激治疗,很少情况下采用手术治疗。任何治疗都应考虑患者的期望和动机以及治疗需求。