Ismail Sharif I M F
Department of Obstetrics and Gynaecology, Barnsley District General Hospital, Barnsley, South Yorkshire, UK.
Int Urogynecol J Pelvic Floor Dysfunct. 2008 Sep;19(9):1205-9. doi: 10.1007/s00192-008-0620-0. Epub 2008 May 27.
The aim of this study was to assess the efficacy and safety of transvaginal radiofrequency remodelling of the endopelvic fascia as a primary procedure for urodynamic stress incontinence due to urethral hypermobility in women. It included 24 patients who had the procedure at two district general hospitals. Outcome measures included the pad test, urodynamic assessment, continence diary, pain scores and operative as well as post-operative complications and assessment was made on recruitment during hospital admission and at 3, 6 and 12 months follow-up. A rising failure rate was noted as early as 3 months, leading to a cumulative cure rate of 45.8% at 12 months follow-up. This low effectiveness could be attributed to inherent weakness of the endopelvic fascia. No major complications were encountered and pain scores were mild.
本研究的目的是评估经阴道射频重塑盆腔内筋膜作为女性尿道活动过度所致尿动力学压力性尿失禁的主要治疗方法的疗效和安全性。该研究纳入了在两家地区综合医院接受该手术的24例患者。观察指标包括护垫试验、尿动力学评估、控尿日记、疼痛评分以及手术中和术后并发症，并在入院时及术后3个月、6个月和12个月随访时进行评估。早在3个月时就注意到失败率不断上升，在12个月随访时累积治愈率为45.8%。这种低有效性可能归因于盆腔内筋膜的固有弱点。未出现重大并发症，疼痛评分较轻。
