Stamey T A, Schaeffer A J, Condy M
Surg Gynecol Obstet. 1975 Mar;140(3):355-60.
Forty-four consecutive patients, without residual urine or infecttion, were operated upon for urinary stress incontinence by endoscopie suspension of the vesical neck. All patients had preoperative and post-operative lateral view cystograms which showed after operation substantial upward and forward elevation of the urethrovesical junction as measured by the posterior urethrovesical angle, the angle of urethral inclination, and elevation of the base of bladder. Despite a significant history of an urgency component to their incontinence in many patients, as well as 44 previous operations in 22 of the patients, a carefully performed cystometrogram and cholinergic sensitivity test were not helpful in detecting abnormalities of the detrusor muscle. Fourty-one patients were cured, and in three others, the condition was not cured, the failure group. The lateral view cystogram was the most diagnostic test in that two in the failure group did not show preoperatively the roentgenographic hallmark of stress urinary incontinence.
44例无残余尿或感染的连续患者接受了膀胱颈内镜下悬吊术治疗尿失禁。所有患者术前行膀胱造影侧位片检查，术后再次行膀胱造影侧位片检查，结果显示术后膀胱尿道连接部明显向上和向前抬高，这通过后尿道膀胱角、尿道倾斜角以及膀胱底部抬高来衡量。尽管许多患者有明显的急迫性尿失禁病史，并且22例患者之前接受过44次手术，但仔细进行的膀胱测压图和胆碱能敏感性试验对检测逼尿肌异常并无帮助。41例患者治愈，另外3例未治愈，为失败组。侧位膀胱造影是最具诊断价值的检查，因为失败组中有2例术前未显示压力性尿失禁的X线特征。
