Zuluaga Gómez A, Nogueras Ocaña M, Martínez Torres J L, de la Fuente Serrano A, Soler Soler J L, Lardelli Claret P
Servicio de Urología, Hospital Universitario, Granada, España.
Arch Esp Urol. 1992 Sep;45(7):609-12.
The aim of the surgical procedures utilized in the treatment of stress urinary incontinence (SUI) is to correct the posterior ureterovesical angle defect, thereby improving transmission of intraabdominal pressures to the urethra. We report our experience on 61 patients that had been diagnosed with SUI at our service from June 1984 to December 1990. Treatment was by the same operative procedure (Burch Technique) in all patients. The methods of exploration and the prognostic factors that might influence the outcome of the procedure are described. The short-term (3 months) success rate was 95%, the medium-term (1 year) 85.7% and the long-term (5 years) 77.1%. We underscore the convenience of prophylactic heparin therapy to prevent possible thromboembolic complications.
用于治疗压力性尿失禁(SUI)的外科手术的目的是纠正后输尿管膀胱角缺陷,从而改善腹内压向尿道的传导。我们报告了1984年6月至1990年12月期间在我院被诊断为SUI的61例患者的治疗经验。所有患者均采用相同的手术方法(伯奇手术)进行治疗。描述了探查方法以及可能影响手术结果的预后因素。短期(3个月)成功率为95%,中期(1年)为85.7%,长期(5年)为77.1%。我们强调预防性肝素治疗对于预防可能的血栓栓塞并发症的便利性。