伯奇阴道悬吊术能治愈性交性尿失禁吗？
Does Burch colposuspension cure coital incontinence?
作者信息
Baessler Kaven, Stanton Stuart L
机构信息
Pelvic Reconstruction and Urogynaecology Unit, St George's Hospital Medical School, London, United Kingdom.
出版信息
Am J Obstet Gynecol. 2004 Apr;190(4):1030-3. doi: 10.1016/j.ajog.2003.10.709.
OBJECTIVE
The purpose of this study was to evaluate the effect of Burch colposuspension for stress urinary incontinence on concomitant coital incontinence.
STUDY DESIGN
The urogynecology database was searched for sexually active women, who experienced coital incontinence on vaginal penetration, orgasm, or both and who had subsequently undergone Burch colposuspension for urodynamic stress incontinence. The women were interviewed or sent a questionnaire on postoperative bladder and sexual function after a minimum follow-up time of 6 months.
RESULTS
Thirty of 43 women answered the questionnaire. Preoperatively, 22 women (73%) experienced urinary leakage during penetration, 3 (10%) during orgasm and 5 (17%) at both. Stress incontinence symptoms were successfully treated in 23 (77%). Coital incontinence was cured in 21 of 30 (70%) and improved in 2.
CONCLUSION
The results of this small series suggest that coital incontinence is likely to be cured or improved when stress incontinence has been successfully treated by Burch colposuspension.
目的
本研究旨在评估Burch阴道悬吊术治疗压力性尿失禁对伴发性交性尿失禁的影响。
研究设计
在泌尿妇科数据库中搜索有性生活的女性，这些女性在阴道插入、性高潮或两者时出现性交性尿失禁，并且随后因尿动力学压力性尿失禁接受了Burch阴道悬吊术。在至少随访6个月后，对这些女性进行访谈或发送关于术后膀胱和性功能的问卷。
结果
43名女性中有30名回答了问卷。术前，22名女性（73%）在插入时出现漏尿，3名（10%）在性高潮时出现漏尿，5名（17%）在两者时均出现漏尿。23名（77%）患者的压力性尿失禁症状得到成功治疗。30名患者中有21名（70%）性交性尿失禁治愈，2名有所改善。
结论
这个小系列研究的结果表明，当通过Burch阴道悬吊术成功治疗压力性尿失禁时，性交性尿失禁可能会治愈或改善。
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