Bergman A, Koonings P P, Ballard C A
Department of Obstetrics and Gynecology, University of Southern California School of Medicine, Los Angeles 90033.
J Reprod Med. 1991 Feb;36(2):137-40.
Up to a 50% failure rate may be expected when genuine stress incontinence with low urethral pressure is treated with routine urethropexy. A combination of Ball and Burch procedures has been suggested as an acceptable alternative to a sling procedure for the condition. In this study, 18 women undergoing a Burch procedure and 48 undergoing a Ball-Burch procedure were available for follow-up urodynamic evaluation. The one-year objective failure rate of the Burch procedure was 38%, and that of the Ball-Burch procedure was 10%, for a statistically significant difference (P less than .05). The Ball-Burch procedure appears to be an effective means of curing women of genuine stress incontinence with low urethral pressure.
当采用常规尿道悬吊术治疗真正的低尿道压力性尿失禁时，预期失败率可能高达50%。对于这种情况，有人建议将鲍尔手术和伯奇手术联合起来作为吊带手术的一种可接受的替代方法。在本研究中，18例行伯奇手术和48例行鲍尔-伯奇联合手术的女性接受了随访尿动力学评估。伯奇手术的一年客观失败率为38%，鲍尔-伯奇联合手术为10%，差异有统计学意义（P小于0.05）。鲍尔-伯奇联合手术似乎是治愈真正的低尿道压力性尿失禁女性的一种有效方法。
