The Underactive Bladder: A New Clinical Concept?

The Underactive Bladder: A New Clinical Concept?
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DOI:
10.1016/j.eururo.2015.02.030
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发表时间:
2015-09-01
期刊:
影响因子:
23.4
通讯作者:
Smith, Philip P.
Smith, Philip P.
中科院分区:
医学1区
文献类型:
--
作者:
Chapple, Christopher R.;Osman, Nadir I.;Smith, Philip P.

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逼尿肌活动不足(DU)是男性和女性下尿路症状的一个日益公认的原因。对这种功能障碍的所有方面都缺乏研究,到目前为止,还没有有效的治疗方法。目前只能根据侵入性尿流动力学检查来诊断DU。一个国际共识小组在2014年国际大小便失禁协商研究会和国际大陆学会年会上举行会议,审议为与DU有关的症状群制定工作定义的可行性。与逼尿肌过度活动(尿动力学诊断)和膀胱过度活动(症状复合体)相类比,这一过程的目的是帮助识别受影响的患者,并促进进一步的临床和流行病学研究。患者摘要:膀胱活动不足是男性和女性尿路症状的一个研究不足但重要的原因。在这篇论文中,一个国际专家组提出了膀胱活动不足症状的工作定义,目的是促进这一领域的进一步研究。(C)2015年欧洲泌尿外科协会。爱思唯尔出版,版权所有。
Detrusor underactivity (DU) is an increasingly recognised cause of lower urinary tract symptoms in both men and women. There has been a lack of research into all aspects of this dysfunction, and as yet, no effective treatments exist. DU can be diagnosed at present only on the basis of an invasive urodynamic study. An international consensus group met at the International Consultation on Incontinence-Research Society and International Continence Society annual meetings in 2014 to consider the feasibility of developing a working definition of a symptom complex associated with DU. Drawing an analogy to detrusor overactivity (urodynamic diagnosis) and overactive bladder (symptom complex), the aim of this process is to help identify affected patients and facilitate further clinical and epidemiological research.Patient summary: Bladder underactivity is an underresearched but important cause of urinary symptoms in men and women. In this paper, an international expert group presents a working definition for the symptoms that characterise bladder underactivity, with the aim of facilitating further research in this area. (C) 2015 European Association of Urology. Published by Elsevier B.V. All rights reserved.