Huwyler Mirjam, Burton Claire, Renganathan Arasee, Latthe Pallavi, Robinson Dudley, Parsons Matthew, Cardozo Linda, Toozs-Hobson Philip
Birmingham Women's Hospital, Metchley Park Road, Edgbaston, Birmingham, B15 2TG, UK.
Int Urogynecol J. 2010 Jul;21(7):823-7. doi: 10.1007/s00192-010-1104-6. Epub 2010 Feb 10.
This study is a retrospective modelling of early intervention for voiding difficulties (VD) after retropubic tape insertion.
Chart review assessing Trial Without Catheter (TWOC) on day 2 and day 9 and long-term VD. Number needed to treat (NNT) analysis performed for presumed intervention on days 2 and 9.
Thirty seven (22%) of 171 patients failed TWOC on day 2, 20 (12%) on day 9. Ten (6%) had VD at 6 months. Five elected to have the tape cut. One had recurrence of SUI. NNT was 7.4:1 on day 2 and 4:1 on day 9 to avoid per tapes being cut at 6 months. Early intervention would potentially lead to six and three additional failures, respectively, assuming 80% continence. This represents over 100 per annum in the United Kingdom.
The majority of VD after retropubic tape insertion will resolve. Early intervention may lead to additional failures.
本研究是对耻骨后吊带置入术后排尿困难（VD）早期干预的回顾性建模。
通过图表回顾评估术后第2天和第9天的无导尿管试验（TWOC）以及长期VD情况。对术后第2天和第9天的假定干预措施进行治疗所需人数（NNT）分析。
171例患者中，37例（22%）在术后第2天TWOC失败，20例（12%）在术后第9天失败。10例（6%）在6个月时出现VD。5例选择切除吊带。1例压力性尿失禁复发。为避免在6个月时每根吊带被切除，术后第2天的NNT为7.4:1，术后第9天为4:1。假设控尿率为80%，早期干预分别可能导致另外6例和3例失败。这在英国每年超过100例。
耻骨后吊带置入术后的大多数VD会自行缓解。早期干预可能导致更多失败病例。
