Kuhn Annette, Stadlmayr Werner, Sohail Amara, Monga Ash
Frauenklinik, Inselspital, Bern, Switzerland.
Int Urogynecol J Pelvic Floor Dysfunct. 2008 Apr;19(4):503-7. doi: 10.1007/s00192-007-0479-5. Epub 2007 Oct 23.
Tegress is ethylene vinyl alcohol which is non-allergenic and permanent. The aim of the study was to evaluate efficacy, feasibility and safety of transurethral Tegress in women with urodynamic stress incontinence in a two-centre setting. Approximately 33 female patients with urodynamic stress incontinence were prospectively included in the study. Preoperatively, the patient's history, gynaecological examination and multichannel urodynamics were performed. On follow-up, the patient was asked to use a visual analogue scale to measure her contentness and underwent uroflowmetry and a cough test. Median follow up was 51 months. About 15 women considered themselves as completely continent, and 23 (69%) were either satisfied or very satisfied. Pad test was positive in 18 (54.5%) patients, and cough test was positive in 20 (60.6%). Patients' satisfaction did not correlate with objective dryness. Ethylene vinyl alcohol is a bulking agent with a success rate of approximately 45% after 51 months.
泰格雷斯是一种非致敏性且永久性的乙烯-乙烯醇共聚物。本研究的目的是在两个中心评估经尿道使用泰格雷斯治疗女性压力性尿失禁的疗效、可行性和安全性。约33例压力性尿失禁女性患者前瞻性纳入本研究。术前进行患者病史、妇科检查和多通道尿动力学检查。随访时，要求患者使用视觉模拟量表测量其满意度，并进行尿流率测定和咳嗽试验。中位随访时间为51个月。约15名女性认为自己完全控尿，23名（69%）患者满意或非常满意。18名（54.5%）患者护垫试验阳性，20名（60.6%）患者咳嗽试验阳性。患者满意度与客观干燥情况无关。乙烯-乙烯醇共聚物是一种填充剂，51个月后的成功率约为45%。
