Khandwala Salil, Jayachandran Chaandini, Sengstock David
Division of Urogynecology, Oakwood Hospital, Dearborn, MI 48124, USA.
Int Urogynecol J. 2010 Jul;21(7):767-72. doi: 10.1007/s00192-010-1114-4. Epub 2010 Feb 26.
The objective of this study was to investigate complications, urinary incontinence symptoms, and overall satisfaction in patients undergoing the tension-free vaginal tape-SECUR (TVT-S) for stress urinary incontinence (SUI).
We reviewed consecutive patients treated with TVT-S between April, 2006 and August, 2007, in a urogynecology practice. Outcomes assessed included complications, voiding function, change in SUI symptoms on the Medical Epidemiological and Social Aspects of Aging (MESA) questionnaire, and overall satisfaction.
One hundred forty-one women (age, 54.1 +/- 12 years; BMI, 31.2 +/- 6.6 kg/m(2)) were treated for SUI with the TVT-S; 34 required concomitant procedures. There were no intra-operative complications. Immediate post-operative voiding function returned in all but one patient; none required sling release. Most patients (90%) reported no pain on a verbal pain scale. On follow-up, 117 patients denied SUI symptoms, 16 reported mild symptoms, and eight required additional treatment. The average MESA "stress" subscore decreased by 79% (13.0 +/- 7.8 points, p < 0.0001). Eighty-five percent felt "satisfied" with the procedure.
TVT-S is a safe and effective treatment for SUI.
本研究的目的是调查接受无张力阴道吊带术（TVT-S）治疗压力性尿失禁（SUI）患者的并发症、尿失禁症状及总体满意度。
我们回顾了2006年4月至2007年8月在一家泌尿妇科诊所连续接受TVT-S治疗的患者。评估的结果包括并发症、排尿功能、衰老的医学流行病学和社会方面（MESA）问卷中SUI症状的变化以及总体满意度。
141名女性（年龄54.1±12岁；体重指数31.2±6.6kg/m²）接受了TVT-S治疗SUI；34名患者需要同时进行其他手术。术中无并发症。除1名患者外，所有患者术后立即恢复排尿功能；无人需要松解吊带。大多数患者（90%）在言语疼痛量表上报告无疼痛。随访时，117名患者否认有SUI症状，16名报告有轻度症状，8名需要额外治疗。MESA“压力”子量表的平均分降低了79%（13.0±7.8分，p<0.0001）。85%的患者对该手术“满意”。
TVT-S是一种治疗SUI安全有效的方法。
