切换至 "中华医学电子期刊资源库"

中华腔镜泌尿外科杂志(电子版) ›› 2021, Vol. 15 ›› Issue (06) : 537 -541. doi: 10.3877/cma.j.issn.1674-3253.2021.06.020

综述

女性压力性尿失禁的诊疗进展
张弛1, 刘柏隆1, 周祥福1,()   
  1. 1. 510630 广州,中山大学附属第三医院泌尿外科
  • 收稿日期:2021-06-14 出版日期:2021-12-01
  • 通信作者: 周祥福
  • 基金资助:
    国家自然科学基金(82170786, 81800666, 82100816); 广东省自然科学基金(2021A1515010354); 广州市科技计划项目重点研发计划(202103000035)

Progress in diagnosis and treatment of female stress urinary incontinence

Chi Zhang1, Bailong Liu1, Xiangfu Zhou1()   

  • Received:2021-06-14 Published:2021-12-01
  • Corresponding author: Xiangfu Zhou
引用本文:

张弛, 刘柏隆, 周祥福. 女性压力性尿失禁的诊疗进展[J]. 中华腔镜泌尿外科杂志(电子版), 2021, 15(06): 537-541.

Chi Zhang, Bailong Liu, Xiangfu Zhou. Progress in diagnosis and treatment of female stress urinary incontinence[J]. Chinese Journal of Endourology(Electronic Edition), 2021, 15(06): 537-541.

[1]
CWinkelman WD, Elkadry E. An Evidenced-based Approach to Stress Urinary Incontinence in Women: What's New?[J]. Clin Obstet Gynecol, 2021, 64(2): 287-296.
[2]
Milsom I, Altman D, Cartwright R, et al. Epidemiology of urinary incontinence (ui) and other lower urinary tract symptoms (luts), pelvic organ prolapse (pop) and anal incontinence (ai). in: abrams p, cardozo l, wagg a, wein a, eds. incontinence: 6th international consultation on incontinence[M]. 6th ed. Tokyo: International Continence Society (ICS) and International Consultation on Urological Diseases (ICUD), 2016, 1-141.
[3]
Zhang RQ, Xia MC, Cui F, et al. Epidemiological survey of adult female stress urinary incontinence[J]. BMC Womens Health, 2021, 21(1): 172.
[4]
朱兰,孙智晶. 女性压力性尿失禁诊断和治疗指南(2017)[J]. 中华妇产科杂志, 2017, 52(05): 289-293.
[5]
Imamura M, Hudson J, Wallace SA, et al. Surgical interventions for women with stress urinary incontinence: systematic review and network meta-analysis of randomised controlled trials[J]. BMJ, 2019, 365: l1842.
[6]
Lukacz ES, Santiago-Lastra Y, Albo ME, et al. Urinary Incontinence in Women: A Review[J]. JAMA, 2017, 318(16): 1592-1604.
[7]
Rubilotta E, Balzarro M, D'Amico A, et al. Pure stress urinary incontinence: analysis of prevalence, estimation of costs, and financial impact[J]. BMC Urol, 2019, 19(1): 44.
[8]
黄健. 中国泌尿外科和男科疾病诊断治疗指南: 2019版[M]. 北京: 人民卫生出版社, 2020: 346-347.
[9]
National Institute for Health and Clinical Excellence. NICE guideline: Urinary incontinence and pelvic organ prolapse in women: management, 2019[EB/OL]. [Online]Available from:

URL    
[10]
徐净, 张奥华, 毛永江, 等. 膀胱颈移动度对女性压力性尿失禁患者的诊断价值[J/CD]. 中华腔镜泌尿外科杂志(电子版), 2016, 10(1): 22-25.
[11]
Osman NI, Li Marzi V, Cornu JN, et al. Evaluation and classification of stress urinary incontinence: current concepts and future directions[J]. Eur Urol Focus, 2016, 2(3): 238-244.
[12]
Serati M, Braga A, Torella M, et al. The role of urodynamics in the management of female stress urinary incontinence[J]. Neurourol Urodyn, 2019, 38 Suppl 4: S42-S50.
[13]
Finazzi-Agro E, Gammie A, Kessler TM, et al. Urodynamics useless in female stress urinary incontinence? time for some sense-a european expert consensus[J]. Eur Urol Focus, 2020, 6(1): 137-145.
[14]
宋晓红,白文佩,朱兰,等. 肥胖女性压力性尿失禁体质量管理中国专家共识(2020版)[J]. 实用临床医药杂志, 2020, 24(2): 1-5.
[15]
Fuselier A, Hanberry J, Margaret Lovin J, et al. Obesity and stress urinary incontinence: impact on pathophysiology and treatment[J]. Curr Urol Rep, 2018, 19(1): 10.
[16]
Hay-Smith EJ, Herderschee R, Dumoulin C, et al. Comparisons of approaches to pelvic floor muscle training for urinary incontinence in women[J]. Cochrane Database Syst Rev, 2011, 7(12): CD009508.
[17]
Labrie J, Berghmans BL, Fischer K, et al. Surgery versus physiotherapy for stress urinary incontinence[J]. N Engl J Med, 2013, 369(12): 1124-1133.
[18]
European Association of Urology. EAU Guidelines on Urinary Incontinence in Adults, 2020. [EB/OL]. Available from:

URL    
[19]
Weinstein MM, Pulliam SJ, Richter HE. Randomized trial comparing efficacy of pelvic floor muscle training with a digital therapeutic motion-based device to standard pelvic floor exercises for treatment of stress urinary incontinence (SUV trial): An all-virtual trial design[J]. Contemp Clin Trials, 2021, 105: 106406.
[20]
Weber MA, Kleijn MH, Langendam M, et al. Local oestrogen for pelvic floor disorders: a systematic review[J]. PLoS One, 2015, 10(9): e0136265.
[21]
Steinauer JE, Waetjen LE, Vittinghoff E, et al. Postmenopausal hormone therapy: does it cause incontinence?[J]. Obstet Gynecol, 2005, 106(5 Pt 1): 940-945.
[22]
Lim R, Lee SW, Tan PY, et al. Efficacy of electromagnetic therapy for urinary incontinence: A systematic review[J]. Neurourol Urodyn, 2015, 34(8): 713-722.
[23]
Lapii GA, Yakovleva AY, Neimark AI. Structural reorganization of the vaginal mucosa in stress urinary incontinence under conditions of Er:YAG laser treatment[J]. Bull Exp Biol Med, 2017, 162(4): 510-514.
[24]
Hardy LA, Chang CH, Myers EM, et al. Computer simulations of thermal tissue remodeling during transvaginal and transurethral laser treatment of female stress urinary incontinence[J]. Lasers Surg Med, 2017, 49(2): 198-205.
[25]
Blaganje M, Scepanovic D, Zgur L, et al. Non-ablative Er:YAG laser therapy effect on stress urinary incontinence related to quality of life and sexual function: A randomized controlled trial[J]. Eur J Obstet Gynecol Reprod Biol, 2018, 224: 153-158.
[26]
Gonzalez Isaza P, Jaguszewska K, Cardona JL, et al. Long-term effect of thermoablative fractional CO2 laser treatment as a novel approach to urinary incontinence management in women with genitourinary syndrome of menopause[J]. Int Urogynecol J, 2018, 29(2): 211-215.
[27]
Lin KL, Chou SH, Long CY. Effect of Er:YAG Laser for Women with Stress Urinary Incontinence[J]. Biomed Res Int, 2019, 2019: 7915813.
[28]
吕坚伟,吕婷婷,司俊文,等. 经尿道Er:YAG铒激光治疗女性轻中度压力性尿失禁的疗效分析[J]. 现代泌尿外科杂志, 2019, 24(4): 268-271.
[29]
Dwyer PL, Karmakar D. Surgical management of urinary stress incontinence - Where are we now?[J]. Best Pract Res Clin Obstet Gynaecol, 2019, 54: 31-40.
[30]
Serati M, Braga A, Athanasiou S, et al. Tension-free vaginal tape-obturator for treatment of pure urodynamic stress urinary incontinence: efficacy and adverse effects at 10-year follow-up[J]. Eur Urol, 2017, 71(4): 674-679.
[31]
Nilsson CG, Palva K, Aarnio R, et al. Seventeen years' follow-up of the tension-free vaginal tape procedure for female stress urinary incontinence[J]. Int Urogynecol J, 2013, 24(8): 1265-1269.
[32]
Mostafa A, Lim CP, Hopper L, et al. Single-incision mini-slings versus standard midurethral slings in surgical management of female stress urinary incontinence: an updated systematic review and meta-analysis of effectiveness and complications[J]. Eur Urol, 2014, 65(2): 402-427.
[33]
Hwang JC, Huang WC, Su TH, et al. Evaluation of efficacy and safety of single-incision sling versus transobturator sling in women with stress incontinence and intrinsic sphincter deficiency[J]. Int Urogynecol J, 2021. Online ahead of print.
[34]
Rudnicki M, von Bothmer-Ostling K, Holstad A, et al. Adjustable mini-sling compared with conventional mid-urethral slings in women with urinary incontinence. A randomized controlled trial[J]. Acta Obstet Gynecol Scand, 2017, 96(11): 1347-1356.
[35]
Alexandridis V, Rudnicki M, Jakobsson U, et al. Adjustable mini-sling compared with conventional mid-urethral slings in women with urinary incontinence: a 3-year follow-up of a randomized controlled trial[J]. Int Urogynecol J, 2019, 30(9): 1465-1473.
[36]
Lapitan MCM, Cody JD, Mashayekhi A. Open retropubic colposuspension for urinary incontinence in women[J]. Cochrane Database Syst Rev, 2017, 7(7): CD002912.
[37]
Fusco F, Abdel-Fattah M, Chapple CR, et al. Updated systematic review and meta-analysis of the comparative data on colposuspensions, pubovaginal slings, and midurethral tapes in the surgical treatment of female stress urinary incontinence[J]. Eur Urol, 2017, 72(4): 567-591.
[38]
Mahdy A, Ghoniem GM. Autologous rectus fascia sling for treatment of stress urinary incontinence in women: a review of the literature[J]. Neurourol Urodyn, 2019, 38 Suppl 4: S51-S58.
[39]
Brubaker L, Richter HE, Norton PA, et al. 5-year continence rates, satisfaction and adverse events of burch urethropexy and fascial sling surgery for urinary incontinence[J]. J Urol, 2012, 187(4): 1324-1330.
[40]
Siddiqui ZA, Abboudi H, Crawford R, et al. Intraurethral bulking agents for the management of female stress urinary incontinence: a systematic review[J]. Int Urogynecol J, 2017, 28(9): 1275-1284.
[41]
Ghoniem G, Farhan B, Chowdhury ML, et al. Safety and efficacy of polydimethylsiloxane (Macroplastique(R)) in women with stress urinary incontinence: analysis of data from patients who completed three years follow-up[J]. Int Urogynecol J, 2021, 32(10): 2835-2840.
[42]
肖远松,胡卫列,吕军,等. 人工尿道括约肌植入术治疗骶髓损伤后压力性尿失禁[J/CD]. 中华腔镜泌尿外科杂志(电子版), 2016, 10(1): 18-21.
[43]
Ronzi Y, Le Normand L, Chartier-Kastler E, et al. Neurogenic stress urinary incontinence: is there a place for adjustable continence therapy (act and proact, uromedica, plymouth, mn, usa)? a retrospective multicenter study[J]. Spinal Cord, 2019, 57(5): 388-395.
[44]
Klapper-Goldstein H, Tamam S, Sade S, et al. A systematic review of stem cell therapy treatment for women suffering from stress urinary incontinence[J]. Int J Gynaecol Obstet, 2021, Online ahead of print.
[45]
Aragon IM, Imbroda BH, Lara MF. Cell Therapy Clinical Trials for Stress Urinary Incontinence: Current Status and Perspectives[J]. Int J Med Sci, 2018, 15(3): 195-204.
[46]
Schmid FA, Williams JK, Kessler TM, et al. Treatment of stress urinary incontinence with muscle stem cells and stem cell components: chances, challenges and future prospects[J]. Int J Mol Sci, 2021, 22(8): 3981.
[47]
Lee JY, Cannon TW, Pruchnic R, et al. The effects of periurethral muscle-derived stem cell injection on leak point pressure in a rat model of stress urinary incontinence[J]. Int Urogynecol J Pelvic Floor Dysfunct, 2003, 14(1): 31-37.
[48]
Eberli D, Aboushwareb T, Soker S, et al. Muscle precursor cells for the restoration of irreversibly damaged sphincter function[J]. Cell Transplant, 2012, 21(9): 2089-2098.
[49]
Carr LK, Steele D, Steele S, et al. 1-year follow-up of autologous muscle-derived stem cell injection pilot study to treat stress urinary incontinence[J]. Int Urogynecol J Pelvic Floor Dysfunct, 2008, 19(6): 881-883.
[50]
Stangel-Wojcikiewicz K, Jarocha D, Piwowar M, et al. Autologous muscle-derived cells for the treatment of female stress urinary incontinence: a 2-year follow-up of a Polish investigation[J]. Neurourol Urodyn, 2014, 33(3): 324-330.
[51]
Sharifiaghdas F, Tajalli F, Taheri M, et al. Effect of autologous muscle-derived cells in the treatment of urinary incontinence in female patients with intrinsic sphincter deficiency and epispadias: A prospective study[J]. Int J Urol, 2016, 23(7): 581-586.
[52]
Li M, Li G, Lei H, et al. Therapeutic potential of adipose-derived stem cell-based microtissues in a rat model of stress urinary incontinence[J]. Urology, 2016, 97: 277.e1-277.e7.
[53]
Ni J, Li H, Zhou Y, et al. Therapeutic potential of human adipose-derived stem cell exosomes in stress urinary incontinence - an in vitro and in vivo study[J]. Cell Physiol Biochem, 2018, 48(4): 1710-1722.
[54]
Wu R, Huang C, Wu Q, et al. Exosomes secreted by urine-derived stem cells improve stress urinary incontinence by promoting repair of pubococcygeus muscle injury in rats[J]. Stem Cell Res Ther, 2019, 10(1): 80.
[55]
Zou XH, Zhi YL, Chen X, et al. Mesenchymal stem cell seeded knitted silk sling for the treatment of stress urinary incontinence[J]. Biomaterials, 2010, 31(18): 4872-4879.
[1] 杨水华, 何桂丹, 覃桂灿, 梁蒙凤, 罗艳合, 李雪芹, 唐娟松. 胎儿孤立性完全型肺静脉异位引流的超声心动图特征及高分辨率血流联合时间-空间相关成像的应用[J]. 中华医学超声杂志(电子版), 2023, 20(10): 1061-1067.
[2] 中华医学会骨科学分会关节外科学组, 广东省医学会骨质疏松和骨矿盐疾病分会, 广东省佛山市顺德区第三人民医院. 中国髋部脆性骨折术后抗骨质疏松药物临床干预指南(2023年版)[J]. 中华关节外科杂志(电子版), 2023, 17(06): 751-764.
[3] 许正文, 李振, 侯振扬, 苏长征, 朱彪. 富血小板血浆联合植骨治疗早期非创伤性股骨头坏死[J]. 中华关节外科杂志(电子版), 2023, 17(06): 773-779.
[4] 李培杰, 乔永杰, 张浩强, 曾健康, 谭飞, 李嘉欢, 王静, 周胜虎. 细菌培养阴性的假体周围感染诊治的最新进展[J]. 中华关节外科杂志(电子版), 2023, 17(06): 827-833.
[5] 张伟. 牙及牙槽外科:舒适治疗的先锋[J]. 中华口腔医学研究杂志(电子版), 2023, 17(06): 386-388.
[6] 彭旭, 邵永孚, 李铎, 邹瑞, 邢贞明. 结肠肝曲癌的诊断和外科治疗[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 108-110.
[7] 马伟强, 马斌林, 吴中语, 张莹. microRNA在三阴性乳腺癌进展中发挥的作用[J]. 中华普外科手术学杂志(电子版), 2024, 18(01): 111-114.
[8] 陈垚, 徐伯群, 高志慧. 改良式中间上入路根治术治疗甲状腺癌的有效性安全性研究[J]. 中华普外科手术学杂志(电子版), 2023, 17(06): 619-622.
[9] 顾睿祈, 方洪生, 蔡国响. 循环肿瘤DNA检测在结直肠癌诊治中的应用与进展[J]. 中华结直肠疾病电子杂志, 2023, 12(06): 453-459.
[10] 袁媛, 赵良平, 刘智慧, 张丽萍, 谭丽梅, 閤梦琴. 子宫内膜癌组织中miR-25-3p、PTEN的表达及与病理参数的关系[J]. 中华临床医师杂志(电子版), 2023, 17(9): 1016-1020.
[11] 陆志峰, 周佳佳, 梁舒. 虚拟现实技术在治疗弱视中的临床应用研究进展[J]. 中华临床医师杂志(电子版), 2023, 17(08): 891-895.
[12] 李田, 徐洪, 刘和亮. 尘肺病的相关研究进展[J]. 中华临床医师杂志(电子版), 2023, 17(08): 900-905.
[13] 岳瑞雪, 孔令欣, 郝鑫, 杨进强, 韩猛, 崔国忠, 王建军, 张志生, 孔凡庭, 张维, 何文博, 李现桥, 周新平, 徐东宏, 胡崇珠. 乳腺癌HER2蛋白表达水平预测新辅助治疗疗效的真实世界研究[J]. 中华临床医师杂志(电子版), 2023, 17(07): 765-770.
[14] 周婷, 孙培培, 张二明, 安欣华, 向平超. 北京市石景山区40岁及以上居民慢性阻塞性肺疾病诊断现状调查[J]. 中华临床医师杂志(电子版), 2023, 17(07): 790-797.
[15] 符梅沙, 周玉华, 李慧, 薛春颜. 淋巴细胞免疫治疗对复发性流产患者外周血T淋巴细胞亚群分布与PD1/PD-L1表达的影响及意义[J]. 中华临床医师杂志(电子版), 2023, 17(06): 726-730.
阅读次数
全文


摘要