Kilicarslan Hakan, Guvenal Tevfik, Ayan Semih, Gokce Gokhan, Cetin Ali, Gultekin E Yener
Departments of Urology and Obstetrics and Gynecology, Cumhuriyet University, Sivas, Turkey.
Int J Urol. 2003 Mar;10(3):126-30; discussion 131. doi: 10.1046/j.1442-2042.2003.00596.x.
The aim was to compare the efficacy of Burch colposuspension, transvaginal four-corner bladder neck suspension (FCBNS) and the vaginal wall sling (VWS) procedures in patients with stress urinary incontinence.
A retrospective analysis was performed on 88 patients who underwent Burch colposuspension (n = 20), FCBNS (n = 29) and VWS (n = 39) for stress urinary incontinence. Objective and subjective cure rates at 3 months and annually after the operation were the primary outcome measures.
The patients were similar in age, parity, menopausal status, grade of cystocel and preoperative residual urine volumes. Fourteen out of 20 (70%) patients showed improvement in the group undergoing Burch colposuspension, 29 out of 39 (74.4%) patients showed improvement in the FCBNS group, and 28 out of 29 (96.6%) patients showed improvement in the VWS group. The mean length of follow up was 3.8 years (range 3-5).
In this study, the VWS procedure had a higher long-term cure rate of stress urinary incontinence when compared with the Burch colposuspension and the FCBNS procedures.
目的是比较Burch阴道旁修补术、经阴道四角膀胱颈悬吊术（FCBNS）和阴道壁吊带术（VWS）治疗压力性尿失禁患者的疗效。
对88例因压力性尿失禁接受Burch阴道旁修补术（n = 20）、FCBNS（n = 29）和VWS（n = 39）的患者进行回顾性分析。主要观察指标为术后3个月及每年的客观和主观治愈率。
患者在年龄、产次、绝经状态、膀胱膨出程度和术前残余尿量方面相似。接受Burch阴道旁修补术的20例患者中有14例（70%）病情改善，FCBNS组39例患者中有29例（74.4%）病情改善，VWS组29例患者中有28例（96.6%）病情改善。平均随访时间为3.8年（范围3 - 5年）。
在本研究中，与Burch阴道旁修补术和FCBNS相比，VWS治疗压力性尿失禁的长期治愈率更高。
