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首页> 外文期刊>The journal of sexual medicine >Female urinary incontinence during intercourse: a review on an understudied problem for women's sexuality.
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Female urinary incontinence during intercourse: a review on an understudied problem for women's sexuality.

机译：女性性交时尿失禁：对女性性行为的研究不足的一个综述。

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INTRODUCTION: Coital urinary incontinence is a frequently underreported symptom, with a relevant impact on women's sexuality and quality of life. AIM: This article will review the available evidence on incidence, pathophysiology, and treatment of coital urinary incontinence with the attempt to present the current state of the art. METHODS: PubMed was searched for reports about coital urinary incontinence that were published from 1970 to 2008, and the most relevant articles were reviewed. MAIN OUTCOME MEASURES: Review on epidemiology, pathophysiology, diagnosis, and treatment of coital incontinence. RESULTS: The incidence of coital incontinence in incontinent women has been reported to range between 10% and 27%. At present, some evidence suggests an association between urinary leakage at penetration and urodynamic stress (USI) incontinence as well as urinary leakage during orgasm and detrusor overactivity (DO). When treatment for these conditions are based upon urodynamic findings, pelvic floor muscle training, surgery, and pharmacotherapy show satisfactory cure rates. CONCLUSIONS: Coital urinary incontinence deserves much more attention in clinical practice: women should be specifically interviewed for this disturbance because it has a very negative impact on their sexuality. If a reliable urodynamic diagnosis is made, coital urinary incontinence at penetration can be cured in more than 80% of cases by surgery in the presence of USI. The form of coital incontinence during orgasm is curable by antimuscarinic treatment in about 60% of cases when associated with DO.
机译：简介：尿频尿失禁是一种经常被漏报的症状，对女性的性行为和生活质量有相关影响。目的：本文将回顾有关发生性尿失禁的发病率，病理生理学和治疗的现有证据，以试图介绍当前的最新技术水平。方法：检索PubMed以查找1970年至2008年间发表的有关性尿失禁的报告，并复习最相关的文章。主要观察指标：回顾性交失禁的流行病学，病理生理学，诊断和治疗。结果：据报道，失禁女性中性交失禁的发生率在10％至27％之间。目前，一些证据表明，渗透时尿漏与尿动力学压力性尿失禁（USI）失禁以及性高潮和逼尿肌过度活动（DO）期间尿漏有关。当根据尿路动力学发现对这些疾病进行治疗时，骨盆底肌肉训练，手术和药物治疗显示出令人满意的治愈率。结论：性尿失禁在临床实践中值得更多关注：应针对这种紊乱对妇女进行专访，因为这种紊乱对她们的性行为有非常负面的影响。如果做出可靠的尿动力学诊断，则在有USI的情况下，可以通过手术治愈80％以上的穿透性尿失禁。当与DO相关时，在大约60％的病例中，通过抗毒蕈碱治疗可以治愈性高潮时性交失禁的形式。

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