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首页> 外文期刊>Current opinion in obstetrics & gynecology >Combined fecal and urinary incontinence: an update.
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Combined fecal and urinary incontinence: an update.

机译：粪便和尿失禁合并：更新。

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PURPOSE OF REVIEW: To review last year's literature on combined fecal and urinary incontinence, highlighting the most recent contributions on prevalence, physiopathology, evaluation, and treatment. RECENT FINDINGS: Prevalence studies of double incontinence are rare but both conditions are frequently associated with pelvic organ prolapse. Vaginal delivery and chronic straining are risk factors for double incontinence, and pudendal neuropathy may be responsible for deterioration of continence. Electrophysiological studies in patients with combined fecal and urinary incontinence are necessary to confirm this hypothesis. Patients with double incontinence should be evaluated by a multidisciplinary group of specialists. A complete evaluation including urodynamics, anal manometry, anal ultrasound and electrophysiologic tests is recommended in most cases. Conservative therapy including pelvic floor exercises combined with bladder training and biofeedback has been demonstrated to be effective. Surgery is indicated in very few selected patients and may be performed simultaneously for both fecal and urinary incontinence. New studies are necessary that focus on identification of other risk factors and preventive strategies before deterioration of continence occurs. SUMMARY: Combined fecal and urinary incontinence is not uncommon and its pathophysiology involves multiple factors. These patients should be evaluated by a multidisciplinary group of specialists and offered appropriate measures to improve their quality of life.
机译：审查目的：回顾去年有关粪便和尿失禁的文献，重点介绍在流行率，生理病理学，评估和治疗方面的最新贡献。最近的发现：双重失禁的流行研究很少见，但两种情况都经常与盆腔器官脱垂有关。阴道分娩和慢性劳损是双尿失禁的危险因素，阴部神经病变可能是导致尿失禁的原因。粪便和尿失禁合并患者的电生理研究对于证实这一假设是必要的。双尿失禁的患者应由多学科的专家小组评估。在大多数情况下，建议进行全面评估，包括尿流动力学，肛门测压，肛门超声和电生理检查。保守疗法包括骨盆底运动结合膀胱训练和生物反馈已被证明是有效的。很少有患者选择手术治疗，并且可以同时进行大便和尿失禁。有必要开展新的研究，着眼于在尿失禁恶化之前识别其他危险因素和预防策略。摘要：大便失禁和尿失禁并不少见，其病理生理学涉及多个因素。这些患者应由多学科的专家小组评估，并提供适当的措施以改善其生活质量。

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