Innerkofler Petra C, Guenther Verena, Rehder Peter, Kopp Martin, Nguyen-Van-Tam Dominic P, Giesinger Johannes M, Holzner Bernhard
Department of Biological Psychiatry, Innsbruck Medical University, Anichstr 35, A-6020 Innsbruck, Austria.
Health Qual Life Outcomes. 2008 Sep 29;6:72. doi: 10.1186/1477-7525-6-72.
The objective of this study was to compare the effect of incontinence surgery and pelvic floor training on quality of life (QOL), anxiety and depression in patients with stress urinary incontinence (SUI).
In a prospective longitudinal study, females with proven SUI were asked to complete a set of standardized questionnaires (sociodemographic data sheet, FACT-G, I-QOL, HADS) before and eight weeks after treatment. The comparison groups consisted of a surgical treatment group and a conservative group that underwent supervised pelvic floor training for eight weeks.
From the 67 female patients included in the study a number of 53 patients completed both assessment time points (mean age 57.4, mean years of SUI 7.6). The surgical treatment group consisted of 32 patients of which 21 patients received a modified Burch colposuspension and 11 patients a tension-free mid-urethral tape suspension. The 21 patients in the conservative group attended eight once-weekly supervised pelvic floor training sessions. After treatment the surgical intervention group showed a significantly higher improvement of QOL (FACT-G and I-QOL) and anxiety (HADS) than the pelvic floor training group.
For female patients with SUI surgery yielded a better outcome than pelvic floor training with regard to quality of life and anxiety.
本研究旨在比较压力性尿失禁（SUI）患者行尿失禁手术与盆底训练对生活质量（QOL）、焦虑及抑郁的影响。
在一项前瞻性纵向研究中，确诊为SUI的女性患者在治疗前及治疗八周后被要求完成一套标准化问卷（社会人口数据表、FACT-G、I-QOL、HADS）。比较组包括手术治疗组和接受八周有监督盆底训练的保守治疗组。
研究纳入的67例女性患者中，53例患者完成了两个评估时间点的评估（平均年龄57.4岁，平均SUI病程7.6年）。手术治疗组有32例患者，其中21例接受改良Burch阴道悬吊术，11例接受无张力中段尿道吊带悬吊术。保守治疗组的21例患者参加了八次每周一次的有监督盆底训练课程。治疗后，手术干预组在生活质量（FACT-G和I-QOL）及焦虑（HADS）方面的改善显著高于盆底训练组。
对于患有SUI的女性患者，在生活质量和焦虑方面，手术比盆底训练效果更好。
