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首页> 外文期刊>International journal of fertility and women's medicine >The unspeakable illness: the work-up of female urinary incontinence.
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The unspeakable illness: the work-up of female urinary incontinence.

机译：难以言表的疾病：女性尿失禁的检查。

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摘要

The work-up for female urinary incontinence--i.e., diagnosis and, perhaps, initial therapy-is a rational, multi-step procedure, complicated by the reticence of patients concerning their problem (except when the chief complaint is interference with sexual relations). The chief causes of incontinence are (genuine) stress incontinence and overactive bladder (OABR, although there is a continuum between them. Diagnosis begins with a review of symptoms and thorough history-taking, followed by testing: a urination diary and in-office neurologic and gynecologic tests, preceded by a thorough physical examination including all relevant gynecologic and neurologic aspects, the latter centered around S2-4--the so-called Q-tip test. If tests are inconclusive, or if medical history is suggestive, the patient is referred to a urodynamic laboratory for multi-channel urodynamic testing and other tests requiring sophisticated uradynamic equipment. Treatment plans include pharmacologic therapy of OAB and surgery, but are often less drastic.
机译：女性尿失禁的检查（即诊断和可能的初始治疗）是一个合理的，多步骤的过程，并伴有患者对问题的沉默寡言（主要投诉是对性关系的干扰除外） 。尿失禁的主要原因是（真正的）压力性尿失禁和膀胱过度活动症（OABR，尽管它们之间存在连续性），诊断始于对症状的回顾和详尽的病史记录，然后进行测试：排尿日记和办公室内神经系统疾病妇科检查和妇科检查，然后进行全面的身体检查，包括所有相关的妇科和神经病学方面，后者围绕S2-4，即所谓的Q-tip检查。被称为尿动力学实验室，用于多通道尿动力学测试以及其他需要复杂尿动力学设备的测试，治疗计划包括OAB的药物治疗和手术，但通常没有那么激烈。

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