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Non-surgical management of urinary stress incontinence

机译：尿失禁的非手术治疗

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This article reviews the non-surgical approach to urinary stress incontinence. As the cost of medical care increases and the waiting lists for surgical operations grow bigger, non-surgical management of incontinence takes on importance. The cure rates or improvement of quality of life with conservative management of urinary stress incontinence are not as good as with the surgical approach but it is an option which may be used in selected patients. Whenever a patient or the health care provider embarks upon the non-surgical options, consideration should be given to the success rates of the modality, either used alone or in combination. The motivation and compliance of patient is important, individuals who have realistic expectations from non-surgical management of urinary stress incontinence usually have the best result.Recent literature was reviewed and an attempt has been made to present an objective assessment for all the modalities currently available for the incontinent woman. It is necessary to stress the need for the use of a combination of modalities for better results when non-surgical approach is used as the first line option. It is also important to be empathetic and supportive of such women as they usually have an extremely poor self esteem, are depressed and reclusive.
机译：本文回顾了非手术治疗尿失禁的方法。随着医疗费用的增加和外科手术的等待清单越来越大，对失禁的非手术管理变得尤为重要。通过保守管理尿不便症的治愈率或生活质量的改善不如手术方法，但它是可用于某些患者的一种选择。每当患者或医疗保健提供者开始采用非手术方式时，应考虑单独使用或组合使用的方式的成功率。患者的积极性和依从性很重要，对非手术性尿失禁性尿失禁的治疗抱有现实期望的人通常会取得最佳结果。给失禁的女人当使用非手术方法作为第一线选择时，有必要强调需要使用多种模式的组合以获得更好的结果。移情和支持这样的女性也很重要，因为她们通常自尊心极差，沮丧和隐居。

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