Illinois Urogynecology, Ltd, Oak Lawn, IL, USA.
Am J Obstet Gynecol. 2010 Apr;202(4):375.e1-5. doi: 10.1016/j.ajog.2009.06.022. Epub 2009 Aug 15.
The objective of the study was to evaluate the use of urodynamics to determine the need for incontinence surgery at the time of abdominal sacrocolpopexy (ASC).
The records of 441 women undergoing ASC during 2005-2007 were reviewed. Group 1 consisted of 204 women (46.3%) with urodynamic stress incontinence (USI), including occult USI, who underwent incontinence surgery with ASC. Group 2 consisted of 237 women (53.7%) without USI who underwent ASC alone. Primary outcome measures were any complaint of postoperative incontinence (stress or urge) or new-onset urgency/frequency (UF).
At a mean follow-up of 46.6 weeks, the overall rate of incontinence was low and similar for both groups (13.4% in group 1 and 13.3% in group 2 [P = .967]), as was new-onset UF: 18.6% in group 1 and 11.5% in group 2 (P = .195).
Urodynamic evaluation appears to be useful in determining the need for incontinence surgery at the time of ASC.
本研究旨在评估在进行腹式骶骨阴道固定术（ASC）时使用尿动力学检查来确定是否需要进行尿失禁手术。
回顾了 2005 年至 2007 年间进行 ASC 的 441 名女性的记录。第 1 组包括 204 名（46.3%）有压力性尿失禁（USI）的女性，包括隐匿性 USI，她们在接受 ASC 的同时进行了尿失禁手术。第 2 组包括 237 名（53.7%）无 USI 的女性，仅接受 ASC。主要结局指标是术后任何程度的尿失禁（压力性或急迫性）或新发急迫性/频率增加（UF）。
在平均 46.6 周的随访中，两组的总体失禁率均较低且相似（第 1 组为 13.4%，第 2 组为 13.3%[P=.967]），新发 UF 率也相似：第 1 组为 18.6%，第 2 组为 11.5%（P=.195）。
尿动力学评估似乎可用于确定在进行 ASC 时是否需要进行尿失禁手术。
