Golomb J, Lindner A
Dept. of Urology, Edith Wolfson Medical Center, Holon.
Harefuah. 1991 Aug;121(3-4):77-9.
32 women with genuine stress urinary incontinence were operated on via the transvaginal approach during 1989-1990. They ranged in age from 27-72 years, with a mean of 55.7. In 26, in addition to the urine leakage, vaginal wall prolapse of various degrees was diagnosed. 6 underwent Raz modified Pereyra bladder neck suspension, 26 had Raz 4-corner bladder and bladder neck suspension, and in 17 rectocele and perineal repair were also performed. 2 with uterine prolapse also underwent vaginal hysterectomy. At follow-up 2-12 months later 29 of the 32 were completely cured of stress incontinence (90.6%). In 7 urge incontinence persisted in various degrees, and 3 had developed urge incontinence de novo. All but 1 of them responded favorably to anticholinergic medication. There were postoperative complications in 5 (15.6%), including wound infection that required removal of Prolene sutures in 2, urethrovaginal fistula requiring reoperation in 1, perioperative myocardial infarction in 1, and in 1 voiding dysfunction initially treated with self-intermittent catheterization, but later cured by removal of a pair of Prolene sutures.
1989年至1990年期间，对32例真性压力性尿失禁女性患者采用经阴道入路进行手术。她们的年龄在27岁至72岁之间，平均年龄为55.7岁。其中26例除尿失禁外，还诊断出不同程度的阴道壁脱垂。6例行Raz改良Pereyra膀胱颈悬吊术，26例行Raz四角膀胱及膀胱颈悬吊术，17例同时行直肠膨出和会阴修补术。2例子宫脱垂患者还接受了阴道子宫切除术。术后2至12个月随访时，32例中有29例压力性尿失禁完全治愈（90.6%）。7例仍有不同程度的急迫性尿失禁，3例新发急迫性尿失禁。除1例患者外，其余患者对抗胆碱能药物反应良好。术后有5例（15.6%）出现并发症，包括2例伤口感染需拆除普理灵缝线，1例尿道阴道瘘需再次手术，1例围手术期心肌梗死，1例排尿功能障碍最初采用自我间歇导尿治疗，但后来通过拆除一对普理灵缝线治愈。
