Romero Maroto Jesus, Ortiz Gorraiz Manuel, Prieto Chaparro Luis, Pacheco Bru Juan J, Miralles Bueno Juan J, Lopez Lopez Cristobal
Servicio de Urología, Hospital Universitario de San Juan, Carretera Alicante Valencia s/n. San Juan de Alicante, 03550 Alicante, Spain.
Int Urogynecol J Pelvic Floor Dysfunct. 2008 Aug;19(8):1109-16. doi: 10.1007/s00192-008-0590-2. Epub 2008 Mar 20.
After transvaginal adjustable tape, approximately 15% of patients still suffer incontinence, and voiding dysfunction is present in a relatively important number of patients. Transvaginal adjustable tape (TVA) permits postoperative readjustment of tension, suggesting that better results could be obtained. Sixty-four incontinent women received TVA. Patients were monitored 1, 6, and 12 months post-surgery and annually thereafter by medical history, cough stress test, flowmetry and post-void residual test (PVR), incontinence quality of life, International Consultation on Incontinence Questionnaire-Short Form, and Patient Global Impressions of Improvement (PGI-I) questionnaires. After adjustment, all patients rendered continent, and none had PVR. On no occasion was vesical catheterization or uretholysis necessary. Mean follow-up was 40+/-12.9 months. Objective and subjective cure rate were 94% and 56%, respectively. Qmax was 22.3+/-9.9 ml/s. The PGI-I questionnaire showed 94% of patients to be better or very much better than before. Our data suggest that with TVA tape, better results can be obtained, furthermore, without increasing surgical complications.
经阴道可调节尿道悬吊带手术后，约15%的患者仍存在尿失禁，相当数量的患者存在排尿功能障碍。经阴道可调节尿道悬吊带（TVA）允许术后调整张力，提示可能获得更好的效果。64例尿失禁女性接受了TVA手术。术后1个月、6个月和12个月以及此后每年通过病史、咳嗽压力试验、尿流率测定和排尿后残余尿量试验（PVR）、尿失禁生活质量、国际尿失禁咨询问卷简表以及患者总体改善印象（PGI-I）问卷对患者进行监测。调整后，所有患者均实现控尿，且无残余尿量。无需进行膀胱插管或尿道松解术。平均随访时间为40±12.9个月。客观治愈率和主观治愈率分别为94%和56%。最大尿流率为22.3±9.9ml/s。PGI-I问卷显示94%的患者比术前有所改善或明显改善。我们的数据表明，使用TVA吊带可以获得更好的效果，而且不会增加手术并发症。
