Paick Jae-Seung, Ku Ja Hyeon, Shin Jae Wook, Oh Seung-June, Kim Soo Woong
Department of Urology, Seoul National University Hospital, Seoul National University College of Medicine, Korea.
Int Urogynecol J Pelvic Floor Dysfunct. 2005 May-Jun;16(3):215-9. doi: 10.1007/s00192-004-1244-7. Epub 2004 Oct 26.
The object was to assess the incidence of complications in patients who had undergone the tension-free vaginal tape procedure and their management. A total of 274 women 28-80 years old (mean: 55.1) with a minimum follow-up of 6 months were included in the study. Follow-up evaluation included questionnaire assessment, physical examination with a stress test, uroflowmetry and postvoid residual urine measurement. Bladder perforations were noted in 13 (4.7%). Thirty-eight patients (13.9%) had postvoid residual urine volume >100 ml twice consecutively or failed to void. Twenty-three women had resolution of their voiding dysfunction with intermittent catheterization. Fourteen patients underwent urethral dilatation and four subsequently underwent a release and/or cutting of the tape. Fifty-seven patients (20.8%) had other voiding problems, but a normal voiding pattern was achieved spontaneously in 34. Fourteen women have shown resolution of their voiding symptoms after urethral dilatation. The present study demonstrates that the tension-free vaginal tape procedure is a safe technique for the treatment of female urinary incontinence. In addition, our findings suggest that there may be a role for urethral dilatation in the management of voiding difficulty associated with the procedure.
目的是评估接受无张力阴道吊带手术的患者并发症的发生率及其处理方法。共有274名年龄在28至80岁（平均55.1岁）且随访至少6个月的女性纳入本研究。随访评估包括问卷调查、压力试验体格检查、尿流率测定和排尿后残余尿量测量。发现13例（4.7%）有膀胱穿孔。38例患者（13.9%）连续两次排尿后残余尿量>100ml或无法排尿。23名女性通过间歇性导尿解决了排尿功能障碍。14例患者接受了尿道扩张，其中4例随后进行了吊带松解和/或切断。57例患者（20.8%）有其他排尿问题，但34例患者自发恢复了正常排尿模式。14名女性在尿道扩张后排尿症状得到缓解。本研究表明，无张力阴道吊带手术是治疗女性尿失禁的一种安全技术。此外，我们的研究结果表明，尿道扩张在处理与该手术相关的排尿困难方面可能有作用。
