Is There Effective Therapy?

DARRYL S. CHUTKA

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Is There Effective Therapy?

机译：有有效的疗法吗？

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A thorough history is generally sufficient to determine whether a patient has urge, stress, mixed, overflow, or functional incontinence. Most causes of urge incontinence are idiopathic; however, other conditions that can produce urgency and frequency must be ruled out. Therapeutic measures include elimination of bladder irritants, urge suppression, and timed voiding. Antirhuscarinic medications are the mainstay of therapy. The newer agents have fewer peripheral anticholinergic effects than the older ones. Pelvic floor exercises are an important technique for stress incontinence. They improve periurethral muscle tone, which can enhance urethral resistance. Overflow incontinence results from a high-grade urinary outflow obstruction or poor bladder contractility. The obstruction should be treated if possible.

机译：全面的病史通常足以确定患者是否有急躁，压力，混合，溢流或功能性尿失禁。急迫性尿失禁的大多数原因是特发性的。但是，必须排除其他可能产生紧急性和频率的条件。治疗措施包括消除膀胱刺激物，抑制冲动和定时排尿。抗类花药是治疗的主要手段。新药的外周抗胆碱作用比旧药少。骨盆底运动是缓解压力性尿失禁的重要技术。它们改善了尿道周肌张力，可以增强尿道抵抗力。尿失禁是由于严重的尿流阻塞或膀胱收缩力差引起的。如果可能，应治疗梗阻。

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来源
《Consultant.》 |2012年第9期|共8页
作者
DARRYL S. CHUTKA;
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原文格式 PDF
正文语种 eng
中图分类医药、卫生;
关键词
incontinence; diagnosis; therapy;

机译：尿失禁;诊断;治疗;

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Is There Effective Therapy?

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