Urinary incontinence in elderly women: clinical findings.
Urinary incontinence in elderly women: clinical findings.
复制标题
老年女性尿失禁：临床发现。
DOI：
10.1111/j.1532-5415.1987.tb02295.x
复制
发表时间：
1987
影响因子：
6.3
通讯作者：
Diokno,AC
中科院分区：
文献类型：
--
作者：
Wells,TJ;Brink,CA;Diokno,AC
Two‐hundred women self‐described as having urinary incontinence, aged 55 to 90 years and living in the community completed a comprehensive history and physical examination. Initial presentation of urine loss was most commonly stress incontinence symptoms (35%). Scoring of peak response to volume lost and frequency revealed urine loss necessitating a clothing change for 78% and daily loss experienced by 73%. Over half had experienced a urine loss problem for more than five years. Most (65%) had sought treatment, but a minority reported current (11%) or previous (36%) treatment. Thirty‐six percent were found to have severe atrophic vaginitis with severe urethocele (10%), cystocele (13%), rectocele (12%) less common. Pelvic floor strength by clinical scoring was weak (mean, 1.05 on a 5‐point scale). The vaginal electromyograph first contraction peak mean was 5.94 micro‐volts sustained at 50% or better for 3.92 seconds. Clinical criteria established that 66% had stress, 27% a mixture of stress and urge, only 4% pure urge incontinence, and 4% other. J Am Geriatr Soc 35:933–939, 1987
