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Female pelvic floor dysfunction and voiding dysfunction Kumiko Kato 1 , Shoji Suzuki 1 1Department of Female Urology, Japanese Red Cross Nagoya First Hospital Keyword: 腹圧性尿失禁 , 骨盤臓器脱(性器脱) , 過活動膀胱 pp.747-753
Published Date 2010/7/15
DOI https://doi.org/10.11477/mf.1542102335
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Female pelvic floor dysfunction often impairs the QOL (quality of life) of middle-aged and elderly women. The introduction of minimally-invasive mesh surgery has increased the number of Japanese doctors who are interested in this field. SUI (stress urinary incontinence) can be liberally diagnosed by history taking and stress test, but the definite diagnosis is established by urodynamics, preferably videourodynamics. ALPP (abdominal leak point pressure) is useful to assess the severity and ISD (intrinsic sphincter deficiency). POP (pelvic organ prolapse) is associated with voiding difficulty, overactive bladder, and SUI. Despite some limitations, the barrier test (stress test during prolapse reduction) is helpful to access occult SUI.


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電子版ISSN 1882-1367 印刷版ISSN 0485-1420 医学書院

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