Burch 阴道悬吊术后复发病例的处理：7 年经验。

The management of recurrent cases after the Burch colposuspension: 7 years experience.

机构信息

Ataturk Training and Research Hospital, Clinics of Urogynecology, Ankara, Turkey.

出版信息

Arch Gynecol Obstet. 2011 Apr;283(4):787-90. doi: 10.1007/s00404-010-1419-z. Epub 2010 Mar 14.

DOI:10.1007/s00404-010-1419-z

PMID:20229316

Abstract

PURPOSE

We aimed to discuss our approach to the failure cases whose primary surgery was Burch colposuspension.

METHODS

Total cases who underwent Burch colposuspension was 298, however, 36 cases lost follow-up therefore the study population was 262 cases. Forty-two patients having recurrent stress urinary incontinence (16.0%) after Burch procedure enrolled for the study. Twenty-nine of the recurrent cases were treated with mid-urethral slings tension-free vaginal tape or transobturator tape (TOT) as a secondary procedure, whereas thirteen of the recurrent cases preferred to take medical therapy. Seven of the failed patients after the repeat surgery accepted TOT as a tertiary procedure.

RESULTS

The cumulative cure rates after the secondary and tertiary interventions were 62.1 and 57.1%, respectively. No complications were noticed during the secondary and tertiary surgical interventions.

CONCLUSION

Our study showed that suburethral sling surgery can be an effective choice for the treatment of recurrent cases after Burch colposuspension.

摘要

目的

我们旨在讨论我们对初次手术为 Burch 耻骨后悬吊术的失败病例的处理方法。

方法

总共进行了 298 例 Burch 耻骨后悬吊术，但有 36 例患者失访，因此研究人群为 262 例。42 例 Burch 手术后出现复发性压力性尿失禁（16.0%）的患者入组本研究。29 例复发性病例采用经阴道无张力尿道中段吊带（mid-urethral slings tension-free vaginal tape 或 transobturator tape，TOT）作为二次手术治疗，而 13 例复发性病例则选择药物治疗。7 例重复手术后失败的患者接受 TOT 作为三次手术。