Abbasy Shameem, Lowenstein Lior, Pham Thythy, Mueller Elizabeth R, Kenton Kimberly, Brubaker Linda
Maywood, Illinois, Division of Female Pelvic Medicine and Reconstructive Surgery, Loyola University Medical Center, Maywood, IL 60153, USA.
Int Urogynecol J Pelvic Floor Dysfunct. 2009 Feb;20(2):213-6. doi: 10.1007/s00192-008-0751-3. Epub 2008 Nov 11.
The purpose of this study was to evaluate the effect of colpocleisis and concomitant mid-urethral sling on voiding function. This is an IRB-approved, retrospective case series of women who underwent a colpocleisis with concomitant synthetic mid-urethral sling for treatment of stress urinary incontinence (SUI) between January 2005 and September 2007. Thirty-eight women with pelvic organ prolapse and SUI symptoms were included. Thirty percent had a post-void residual (PVR) greater than 100 ml preoperatively. PVRs were normal in all but two women after surgery. Median prolapse and urinary subscales of the pelvic floor distress inventory improved significantly after surgery [75 (50-100) vs. 0 (0-38), p < 0.0001 and 44 (8-100) vs. 0 (0-50), p < .0001, respectively]. Colpocleisis with concomitant mid-urethral sling improves urinary symptoms without causing significant urinary retention. This combination may be offered to elderly women with SUI who are undergoing colpocleisis regardless of preoperative PVR.
本研究的目的是评估阴道封闭术及同期中段尿道吊带术对排尿功能的影响。这是一项经机构审查委员会批准的回顾性病例系列研究，研究对象为2005年1月至2007年9月期间因压力性尿失禁（SUI）接受阴道封闭术及同期合成材料中段尿道吊带术治疗的女性。纳入了38例有盆腔器官脱垂和SUI症状的女性。30%的患者术前残余尿量（PVR）大于100 ml。除两名女性外所有患者术后PVR均正常。术后盆底困扰量表脱垂和排尿亚量表的中位数显著改善[分别为75（50 - 100）对0（0 - 38），p < 0.0001；44（8 - 100）对0（0 - 50），p < 0.0001]。阴道封闭术及同期中段尿道吊带术可改善排尿症状且不会导致明显的尿潴留。对于接受阴道封闭术的老年SUI女性，无论术前PVR如何，均可采用这种联合治疗方法。
