臨床婦人科産科73巻1号

2019年01月発行

合併増大号　今月の臨床 エキスパートに学ぶ　女性骨盤底疾患のすべて 疾患各論：下部尿路症状

腹圧性尿失禁の診断と治療

著者： 福島正人¹ 横山修¹

所属機関： ¹福井大学泌尿器科

ページ範囲：P.80 - P.86

●腹圧性尿失禁には理学療法が有用である．

●減量も効果的である．

●手術療法は尿道裏面にテープを通す中部尿道スリング手術が第一選択である．

参考文献

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3）McGuire EJ, et al：Clinical assessment of urethral sphincter function. J Urol 150：1452-1454, 1993

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17）Hirakawa, T, et al：Randomized controlled trial of pelvic floor muscle training with or without biofeedback for urinary incontinence. Int Urogynecol J 24：1347-1354, 2013

18）Yamanishi, T, et al：Neuromodulation for the treatment of urinary incontinence. Int J Urol 15：665-672, 2008

19）Colombo M, et al：Burch colposuspension versus modified Marchall-Marchetti-Krantz urethropexy for primary genuine stress urinary incontinence：aprospective, randomized clinical trial. Am J Obstet Gynecol 171：1573-1579, 1994

20）Ward KL, et al：Tension-free vginal tape versus colposuspension for primary urodynamic stress incontinence：5-year follow up. BJOG 115：226-233, 2008

21）Auwad W, et al：The development of pelvic organ prolapse after colposuspension：a prospective, long-term follow up study on the prevalence and predisposing factors. Int Urogynecol J Pelvic Floor Dysfunct 17：389-394, 2006

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23）Meschia M, et al：Perioperative morbidity and early results of a randomized trial comparing TVT and TVT-O. Int Urogynecol J Pelvic Floor Dysfunct 18：127-1261, 2007

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・日本排尿機能学会女性下部症状ガイドライン作成委員会（編）：女性下部尿路症状ガイドライン．pp37-158，リッチヒルメディカル，2013

・谷口珠実，他（編）：泌尿器Care & Care Uro-Lo別冊 下部尿路機能障害の治療とケア．pp71-78，pp144-183，メディカ出版，2017

・本間之夫，他：排尿に関する疫学的研究委委員会：排尿に関する疫学的研究．日泌会誌14：266-277, 2003