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首页> 外文期刊>Progres en urologie: journal de l’Association francaise d’urologie et de la Societefrancaise d’urologie >Guidelines concerning urinary incontinence in elderly: Construction and validation of GRAPPPA algorithm [Recommandations concernant l'incontinence urinaire de la personne agée: Construction et validation de l'algorithme décisionnel GRAPPPA]
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Guidelines concerning urinary incontinence in elderly: Construction and validation of GRAPPPA algorithm [Recommandations concernant l'incontinence urinaire de la personne agée: Construction et validation de l'algorithme décisionnel GRAPPPA]

机译：老年人尿失禁指南：GRAPPA算法的构建和验证

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Objectives: Provide guidelines presented as an algorithm for practical evaluation and first line therapy of urinary incontinence in elderly. Patients and methods: Guidelines using formalized consensus guidelines method. These guidelines have been validated by a group of 40 experts quoting proposals, subsequently reviewed by an independent group of multidisciplinary experts (urologist, general practitioner, neurologist, gynecologist, geriatrist, specialist in physical medicine and rehabilitation). Results: By means of 3 rounds of interrogation of the expert panel, GRAPPPA algorithm was constructed. This algorithm take in account both evaluation and first line therapeutic options in the different type of incontinences observed in this population (urge, stress and mixed incontinence). Initial evaluation consists to track down urinary retention (and subsequently fecal stool impaction, use of anticholinergic or morphinic drugs), urinary tract infection and cognitive impairment. Haematuria, bladder-pelvic pain, history of radiotherapy or recent pelvic surgery, lead to refer the patient to a specialized unit. First line therapy is in all the cases pelvic floor training, use of local oestrogenotherapy and dietetic measures. In urge incontinence, anticholinergic drugs may be used. Conclusions: Implementation of this algorithm may promote best practice in management of urinary incontinence in elderly.
机译：目的：提供指导原则，作为对老年人尿失禁进行实用评估和一线治疗的算法。患者和方法：使用正式共识指南方法的指南。这些准则已由一组40名专家引用建议书进行了验证，随后由一个独立的多学科专家小组（泌尿科医生，全科医生，神经病学家，妇科医生，老年病学家，物理医学和康复专家）进行了审核。结果：通过专家小组的三轮询问，构建了GRAPPPA算法。该算法考虑了在该人群中观察到的不同类型尿失禁（急躁，压力和混合性尿失禁）的评估和一线治疗方案。初步评估包括追踪尿retention留（随后排泄粪便，使用抗胆碱能药或吗啡药），尿路感染和认知障碍。血尿，膀胱盆腔疼痛，放疗史或近期盆腔手术会导致患者转至专科病房。在所有情况下，一线治疗都是骨盆底训练，局部雌激素治疗和饮食措施。在急迫性尿失禁中，可以使用抗胆碱能药物。结论：该算法的实施可能会促进老年人尿失禁管理的最佳实践。

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