Hart Stuart R, Moore Robert D, Miklos John R, Mattox Thomas F, Kohli Neeraj
Atlanta Urogynecology Associates, Alpharetta, Georgia 30005, USA.
J Reprod Med. 2006 Jul;51(7):521-4.
To examine the concomitant incidence of surgery for pelvic organ prolapse in patients undergoing a surgical procedure to correct stress urinary incontinence in both an academic and private urogynecology practices.
A retrospective chart review was performed on all patients undergoing surgical correction of stress urinary incontinence over a 1-year period at 2 centers.
Among 150 surgical procedures for stress urinary incontinence in the academic practice, 116 (77%) patients underwent at least 1 additional procedure for a pelvic support defect, and 72 (48%) patients required 2 or more concomitant reconstructive pelvic procedures. In the private urogynecology practice, 182 surgical procedures for stress urinary incontinence were performed, 153 (84%) patients required at least 1 additional procedure for a pelvic support defect, and 86 (47%) patients required 2 or more concomitant reconstructive pelvic procedures.
Women who require surgical correction of stress urinary incontinence have a high incidence of concomitant pelvic support defects that require surgical repair. The incidence of concomitant surgery for pelvic organ prolapse between the 2 sites was not significantly different.
在学术性和私立女性盆底医学诊疗机构中，研究接受手术治疗压力性尿失禁的患者并发盆腔器官脱垂手术的发生率。
对两个中心在1年期间内所有接受压力性尿失禁手术治疗的患者进行回顾性病历审查。
在学术性诊疗机构进行的150例压力性尿失禁手术中，116例（77%）患者因盆腔支持缺陷至少接受了1次额外手术，72例（48%）患者需要同时进行2次或更多次盆腔重建手术。在私立女性盆底医学诊疗机构中，共进行了182例压力性尿失禁手术，153例（84%）患者因盆腔支持缺陷至少需要接受1次额外手术，86例（47%）患者需要同时进行2次或更多次盆腔重建手术。
需要手术治疗压力性尿失禁的女性并发盆腔支持缺陷且需要手术修复的发生率很高。两个机构之间盆腔器官脱垂并发手术的发生率没有显著差异。
