この女性はどんなタイプの尿失禁ですか?

Jayna M Holroyd-Leduc¹, Cara Tannenbaum, Kevin E Thorpe

¹Division of Geriatrics, and Knowledge Translation Program, University of Calgary, Calgary, Alberta, Canada. jayna.holroyd-leduc@calgaryhealthregion.ca

JAMA

|March 28, 2008

まとめ

急性尿失禁の診断には,急性尿失禁の履歴が重要です. 膀ストレステストは,女性のストレス性尿失禁の診断に役立ちます.

科学分野:

泌尿器科泌尿器科とは
診断医学診断医学
証拠に基づいた実践

背景:

尿失禁は多くの個人に影響し,治療法はタイプによって異なります.
尿失禁の正確な診断は,効果的な管理に不可欠です.

研究の目的:

診察室での評価において,尿失禁のタイプを診断するための正確な方法に関する証拠を体系的に検討する.
異なるタイプの尿失禁の臨床評価の診断の正確性を評価する.

主な方法:

MEDLINEとEMBASEのデータベース (1966年~2007年) の体系的なレビュー
大人の尿失禁の診断に関する英語のコホートとケース・コントロールの研究を含める.
基準基準には,専門家による診断や尿動力学的研究が含まれていた.

主要な成果:

40件の論文が含まれており,男性に関するデータはほとんどありませんでした.
女性の場合,経歴はストレス性尿失禁 (SUI) の診断を控えめに助け,衝動性尿失禁 (UUI) にはより有益です.
膀ストレステストは,SUIの適度な有用性を示している. 組み合わせた臨床評価は,SUIの適度な価値を示しているが,UUIの価値は低い.

結論:

患者の病歴,特に急性尿失失は,急性尿 incontinenceの診断に最も価値があります.
膀ストレステストは,ストレス性尿失禁の診断に有用な要素である可能性があります.

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