Resumo
定义
病史和体格检查
关键诊断因素
- presença de fatores de risco
- protuberância/saliência vaginal
- sensação de pressão vaginal
其他诊断因素
- incontinência urinária
- disfunção defecatória
- dor pélvica
- Disfunção da micção
- disfunção sexual
危险因素
- parto vaginal
- idade avançada
- obesidade
- cirurgia prévia para prolapso
- fatores genéticos
- ascendência branca
- doenças do tecido conjuntivo
- aumento da pressão intra-abdominal
诊断性检查
首要检查
- avaliação do volume de resíduo pós-miccional (RPM)
- urinálise
需考虑的检查
- urodinâmica
治疗流程
assintomático
pacientes sintomáticos
撰稿人
作者
Lior Lowenstein, MD, MS, MHA, MBA
Associate Clinical Professor and Head of Gynecology Division
Rambam Health Care Campus
Rappaport Faculty of Medicine
Technion-Israel Institute of Technology
Haifa
Israel
利益声明
LL declares that he has no competing interests.
Omer Anis, MD
Urology Department
Chaim-Sheba Medical Center
Tel Aviv
Israel
利益声明
OA declares that she has no competing interests.
鸣谢
Dr Lior Lowenstein and Dr Omer Anis would like to thank Dr Linda Brubaker, a previous contributor to this topic.
利益声明
LB has received editorial honoraria from JAMA, UpToDate, and the Female Pelvic Medicine and Reconstructive Surgery journal. LB is an author of some of the references cited in this topic.
同行评议者
Sarah Collins, MD
Associate Professor of Obstetrics and Gynecology
Northwestern University
Feinberg School of Medicine
Chicago
IL
利益声明
SC declares that she has no competing interests.
Sushma Srikrishna, MRCOG
Locum Consultant Urogynaecologist and Obstetrician
Kings College Hospital
London
UK
利益声明
SS declares that she has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
参考文献
关键文献
American College of Obstetricians and Gynecologists. Practice bulletin no. 214: pelvic organ prolapse. Nov 2019 [internet publication].全文
Winters JC, Dmochowski RR, Goldman HB, et al; American Urological Association; Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction. Urodynamic studies in adults: AUA/SUFU guideline. J Urol. 2012 Dec;188(6 Suppl):2464-72. 摘要
National Institute for Health and Care Excellence. Urinary incontinence and pelvic organ prolapse in women: management. Jun 2019 [internet publication].全文
Maher C, Feiner B, Baessler K, et al. Surgery for women with anterior compartment prolapse. Cochrane Database Syst Rev. 2016 Nov 30;(11):CD004014.全文 摘要
Baessler K, Christmann-Schmid C, Maher C, et al. Surgery for women with pelvic organ prolapse with or without stress urinary incontinence. Cochrane Database Syst Rev. 2018 Aug 19;(8):CD013108.全文 摘要
Brubaker L, Cundiff GW, Fine P, et al; Pelvic Floor Disorders Network. Abdominal sacrocolpopexy with Burch colposuspension to reduce urinary stress incontinence. N Engl J Med. 2006 Apr 13;354(15):1557-66.全文 摘要
参考文献
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
鉴别诊断
- Alongamento hipertrófico do colo do útero
- Cisto vaginal
- Câncer ginecológico
更多 鉴别诊断指南
- Non-neurogenic female LUTS
- AAGL practice report: practice guidelines on the prevention of apical prolapse at the time of benign hysterectomy
更多 指南
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