Goh Judith T W, Browning Andrew, Berhan Birhanu, Chang Allan
Griffith University, Gold Coast, Australia.
Int Urogynecol J Pelvic Floor Dysfunct. 2008 Dec;19(12):1659-62. doi: 10.1007/s00192-008-0693-9. Epub 2008 Aug 9.
The aim of this study is to assess the possibility of predicting the risk of failure of closure and post-fistula urinary incontinence. Women attending the fistula clinics were assessed pre-operatively, and fistulae were staged prospectively, using a previously published classification system. Assessment for fistula closure and residual urinary incontinence was performed, prior to discharge. Of the 987 women who were assessed, 960 had successful closure of their fistulae. Of those with successful closure, 229 complained of urinary incontinence following surgery. Women with fistulae located closest to the external urinary meatus had the highest rate of urinary incontinence following fistula closure. Women with significant vaginal scarring and circumferential fistulae also had significantly higher rates of urinary incontinence and higher risk of failure of closure. The classification used is able to predict women at risk of post-fistula urinary incontinence and failure of closure.
本研究的目的是评估预测瘘管闭合失败及瘘管形成后尿失禁风险的可能性。对瘘管门诊的女性患者进行术前评估，并使用先前发表的分类系统对瘘管进行前瞻性分期。在出院前对瘘管闭合及残余尿失禁情况进行评估。在接受评估的987名女性中，960名患者的瘘管成功闭合。在成功闭合瘘管的患者中，229名抱怨术后出现尿失禁。瘘管位置最靠近尿道口的女性在瘘管闭合后尿失禁发生率最高。有明显阴道瘢痕和环形瘘管的女性尿失禁发生率也显著更高，且瘘管闭合失败风险更高。所使用的分类方法能够预测瘘管形成后有尿失禁及瘘管闭合失败风险的女性。
