Robert M, Mainprize T C
Department of Obstetrics and Gynecology, Foothills Hospital, University of Calgary, Calgary, Canada.
Int Urogynecol J Pelvic Floor Dysfunct. 2002;13(5):326-9. doi: 10.1007/s001920200070.
A prospective cohort of 38 women who presented with predominantly stress incontinence symptoms were fitted with an incontinence ring pessary. They had documented stress incontinence on multichannel urodynamic testing. Nine women (24%) were not leaking by subjective measures. Six women (16%) continued using the pessary. This group of women had no statistically identifiable parameters that distinguished them from women who had not wanted to continue using the pessary. There was a trend showing that successfully fitted women were younger (41 vs 52 years old), had less pelvic surgery and leaked less on semiquantitative pad testing (10.7 g vs 19.2 g). In women who chose to continue using the pessary there was a trend showing a decrease in the semiquantitative pad score (1.2 g from 10.7 g) and 7-day voiding diary (1.5 episodes from 4.1). In conclusion, the incontinence pessary was successful in a small proportion of women with stress incontinence.
一项前瞻性队列研究纳入了38名主要表现为压力性尿失禁症状的女性，为她们佩戴了尿失禁环形子宫托。她们在多通道尿动力学检测中被记录有压力性尿失禁。通过主观测量，9名女性（24%）不再漏尿。6名女性（16%）继续使用子宫托。这组女性没有统计学上可识别的参数将她们与不想继续使用子宫托的女性区分开来。有一个趋势表明，成功佩戴子宫托的女性更年轻（41岁对52岁），盆腔手术更少，并且在半定量护垫测试中漏尿量更少（10.7克对19.2克）。在选择继续使用子宫托的女性中，有一个趋势显示半定量护垫评分降低（从10.7克降至1.2克）以及7天排尿日记记录的次数减少（从4.1次降至1.5次）。总之，尿失禁子宫托在一小部分压力性尿失禁女性中取得了成功。
