文献詳細
特集 基礎から学ぶ下部尿路機能障害―苦手意識を克服しよう
〈病態別の診断と治療法〉
文献概要
▶ポイント
・女性の尿失禁では腹圧性尿失禁が最も多いが,高齢女性では混合性尿失禁の頻度が多い.
・腹圧性尿失禁の手術適応は,軽度でも患者の希望があれば考慮してよい.
・混合性尿失禁は,術前に病態をできるだけ精査して,術後の切迫性尿失禁の残存やde novo urgencyについて十分説明を行うことが重要である.
・女性の尿失禁では腹圧性尿失禁が最も多いが,高齢女性では混合性尿失禁の頻度が多い.
・腹圧性尿失禁の手術適応は,軽度でも患者の希望があれば考慮してよい.
・混合性尿失禁は,術前に病態をできるだけ精査して,術後の切迫性尿失禁の残存やde novo urgencyについて十分説明を行うことが重要である.
参考文献
1) Hunskaar S, Burgio K, et al : Epidemiology and natural history of urinary incontinence. Incontinence, edited by Abrams P, Khoury S, Wein A, 2nd ed. pp165-201, Health Publication, Plymouth, 2002
2) Arai Y, Kaiho Y, Takei M, et al : Burden of male stress urinary incontinence : a survey among urologists in Japan. Int J Urol 16 : 915-917, 2009
3) Gotoh M, Homma Y, Funahashi Y, et al : Psychometric validation of the Japanese version of the International Consultation on Incontinence Questionnaire-Short Form. Int J Urol 16 : 303-306, 2009
4) Brown JS, Wing R, Barrett-Connor E, et al : Lifestyle intervention is associated with lower prevalence of urinary incontinence. the Diabetes Prevention Program. Diabetes Care 29 : 385-390, 2006
5) Yasuda K, Kawabe K, Takimoto Y, et al : A double-blind clinical trial of a β2-adrenergic agonist in stress incontinence. Int Urogynecol J 4 : 146-151, 1993
6) Tomoe H, Kondo A, Takei M, et al : Quality of life assessments in women operated on by tension-free vaginal tape (TVT). Int Urogynecol J Pelvic Floor Dysfunct 16 : 114-118, 2005
7) Lleberia-Juanós J, Bataller-Sánchez E, Pubill-Soler J, et al : De novo urgency after tension-free vaginal tape versus transobturator tape procedure for stress urinary incontinence. Eur J Obstet Gnecol Reprod Biol 155 : 229-232, 2011
8) Kulseng-Hanssen S, Husby H and Schiotz HA : The tension free vaginal tape operation for women with mized incontinence : Do preoperative variables predict the outcome? Neurourol Urodyn 26 : 115-121, 2007
9) Choe JH, Choo MS and Lee KS : The impact of tension-free vaginal tape on overactive bladder symptoms in women with stress urinary incontinence : significance of detrusor overactivity. J Urol 179 : 214-219, 2008
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