Surowski S, Bogusiewicz M, Adamiak A, Skorupski P, Rechberger T
Oddział Chirurgicznego Szpitala Miejskiego w Skarzysku Kamiennej.
Ginekol Pol. 2000 Sep;71(9):1099-103.
Biochemical modification and resulting biomechanical disfunction of the connective tissue are believed to contribute to the pathogenesis of both stress urinary incontinence and abdominal hernias. Since the coincidence between this disorders may be anticipated, the goal of our study was to investigate the occurrence of stress urinary incontinence among women who underwent the surgical treatment of abdominal hernias.
Forty seven women who participated into the study were divided into two groups. The investigated group consisted of 23 women who underwent surgical treatment of femoral, inguinal or umbilical hernias, whereas the control group comprised 24 women after cholecystectomy due to cholelithiasis. Data concerning stress urinary incontinence and associated risk factors were obtained using Gaudenz's questionnaire.
Stress urinary incontinence was reported by 34.8% of women after hernioplasty and 33.3% after cholecystectomy. The difference was not statistically significant. We found no association between known risk factors of stress urinary incontinence, as: age, weight, history regarding vaginal delivery and gynecological surgery, and occurrence of incontinence.
The history of the surgical treatment of abdominal hernias is not a risk factor of stress urinary incontinence in women.
结缔组织的生化改变及由此导致的生物力学功能障碍被认为与压力性尿失禁和腹疝的发病机制有关。鉴于这两种疾病可能同时出现，我们研究的目的是调查接受腹疝手术治疗的女性中压力性尿失禁的发生率。
参与本研究的47名女性被分为两组。研究组由23名接受股疝、腹股沟疝或脐疝手术治疗的女性组成，而对照组包括24名因胆结石行胆囊切除术的女性。使用高登兹问卷获取有关压力性尿失禁及相关危险因素的数据。
疝修补术后34.8%的女性和胆囊切除术后33.3%的女性报告有压力性尿失禁。差异无统计学意义。我们未发现压力性尿失禁的已知危险因素（如年龄、体重、阴道分娩史和妇科手术史）与尿失禁的发生之间存在关联。
腹疝手术治疗史并非女性压力性尿失禁的危险因素。
