Department of Urology, Dankook University College of Medicine, Cheonan, Korea.
J Korean Med Sci. 2009 Dec;24(6):1182-6. doi: 10.3346/jkms.2009.24.6.1182. Epub 2009 Nov 9.
We evaluated the long-term efficacy of laparoscopic Burch colposuspension for stress urinary incontinence (SUI) in women. A total of 68 patients who underwent extraperitoneal laparoscopic Burch colposuspensions with more than a 3-yr follow-up were included. The colposuspension was performed by using two non-absorbable sutures on each side. The patients were considered to be cured of SUI if they had a negative result of cough stress test and there were no reports of urine leakage during physical stress. The mean follow-up period was 52 months (range, 36 to 83 months). The overall subjective cure rate was reported in 49 patients (72%). There was no significant difference between the cured and non-cured group in terms of clinical parameters. The cure rate tended to decline gradually over time and it was more deteriorated significantly after 4 yr of surgery. Based on these results, we recommend that long-term follow-up is needed when evaluating the clinical efficacy of anti-incontinence surgery.
我们评估了腹腔镜耻骨后悬吊术治疗女性压力性尿失禁（SUI）的长期疗效。共纳入 68 例接受经腹腹腔镜耻骨后悬吊术且随访时间超过 3 年的患者。在每侧使用两条不可吸收缝线进行耻骨后悬吊术。如果咳嗽压力试验结果为阴性且体力应激时无漏尿报告，则认为患者 SUI 治愈。平均随访时间为 52 个月（范围 36 至 83 个月）。49 例患者（72%）报告总体主观治愈率。治愈组和未治愈组在临床参数方面无显著差异。治愈率随时间逐渐下降，术后 4 年时明显恶化。基于这些结果，我们建议在评估抗失禁手术的临床疗效时需要进行长期随访。
