Misrai Vincent, Chartier-Kastler Emmanuel, Cour Florence, Mozer Pierre, Almeras Christophe, Richard François
Service d'Urologie et de transplantation rénale et pancréatique, Hôpital de la Pitié, Paris, France.
Prog Urol. 2006 Jun;16(3):368-71.
To evaluate the results of surgical treatment of iatrogenic pelviperineal pain following TVT treatment for stress urinary incontinence (SUI).
Eight patients developed chronic pain after TVT that was refractory to symptomatic medical treatment. Pain was characterized by clinical interview and clinical examination and an aetiological assessment demonstrated the role of TVT in pathogenesis of the pain. TVT was removed by open surgery or by laparoscopy. Pain and continence were evaluated postoperatively.
TVT was completely (n = 3) or partially (n = 5) removed. With a mean follow-up of 31 months, no patient has experienced pain recurrence. Five patients have remained continent and 3 patients were treated for recurrent urinary incontinence.
Although medical treatment may be disappointing, surgical resection provides good results on refractory pain, but preservation of continence is inconstant.
评估经阴道无张力尿道中段吊带术（TVT）治疗压力性尿失禁（SUI）后医源性盆腔会阴疼痛的手术治疗效果。
8例患者在TVT术后出现慢性疼痛，对症药物治疗无效。通过临床访谈和临床检查对疼痛进行特征描述，并通过病因评估证明TVT在疼痛发病机制中的作用。通过开放手术或腹腔镜手术取出TVT。术后对疼痛和尿失禁情况进行评估。
TVT被完全取出（n = 3）或部分取出（n = 5）。平均随访31个月，无患者出现疼痛复发。5例患者保持尿失禁，3例患者因复发性尿失禁接受治疗。
尽管药物治疗可能效果不佳，但手术切除对难治性疼痛效果良好，但尿失禁的保留情况并不稳定。
