Pfisterer M, Kuno E, Müller M, Schlierf G, Oster P
Modell-projekt der Robert-Bosch-Stiftung: Kontinenzberatungsstelle am Bethanien-Krankenhaus, Heidelberg.
Fortschr Med. 1998 Jun 20;116(17):22-6.
Every geriatric patient should routinely be questioned about possible urinary incontinence. The basic diagnostic work-up comprises the clinical history, wherever indicated a geriatric assessment, a nursing care history, a physical examination and a micturition protocol. Furthermore, determination of postvoid residual urine, laboratory investigations and a urine-analysis should be done in all patients. Ultrasonography of the urinary tract is a simple non-invasive procedure that can exclude the presence of large tumors, stones in the bladder and urinary retention. Only selected patients require a greater diagnostic effort prior to treatment, for example, urologic and/or gynecologic investigations or a urodynamic evaluation.
每位老年患者都应常规接受关于是否可能存在尿失禁的询问。基本的诊断检查包括临床病史,必要时进行老年综合评估、护理史、体格检查和排尿记录。此外,所有患者都应测定残余尿量、进行实验室检查和尿液分析。泌尿系统超声检查是一种简单的非侵入性检查,可排除是否存在大的肿瘤、膀胱结石和尿潴留。只有部分特定患者在治疗前需要进行更深入的诊断检查,例如泌尿外科和/或妇科检查或尿动力学评估。