WFU

2026年2月20日 星期五

婦女尿失禁轉介專科醫師的適應症 Indications for Specialist Referral for Female Urinary Incontinence


1.    突然發生的尿失禁

2.    在沒有泌尿道感染(UTI)的情況下,出現肉眼或顯微鏡下血尿

3.    合併神經學症狀的尿失禁

4.    培養證實的反覆性泌尿道感染個月內 2 次,或 1 年內 3 次)

5.    骨盆解剖構造異常(例如:超過處女膜的嚴重骨盆器官脫垂、骨盆腫塊、泌尿道瘻管、尿道憩室)

6.    排尿後殘餘尿量持續偏高,或需長期導尿

7.    曾接受骨盆重建手術或骨盆放射治療

8.    置入尿管困難

 


1.    Sudden onset incontinence

2.    Gross or microscopic hematuria without a urinary tract infection (UTI)

3.    Incontinence with neurologic symptoms

4.    Culture-documented recurrent UTI(2 in 6 months or 3 in 1 year)

5.    Abnormal pelvic anatomy (eg, advanced pelvic organ prolapse beyond the hymen, pelvic mass, urinary fistula, urethral diverticulum)

6.    Persistently elevated postvoid residual or chronic catheterization

7.    History of pelvic reconstructive surgery or pelvic irradiation

8.    Difficulty passing a urinary catheter


References: 

https://www.uptodate.com/contents/female-urinary-incontinence-treatment