前入路trocar 引导下经阴道网片手术对下尿路症状的影响。
Effects of anterior trocar guided transvaginal mesh surgery on lower urinary tract symptoms.
机构信息
Division of Obstetrics and Gynaecology, Department of Clinical Science and Education, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.
出版信息
Neurourol Urodyn. 2010 Nov;29(8):1419-23. doi: 10.1002/nau.20880.
AIMS
To assess the effects of trocar guided transvaginal mesh on lower urinary tract symptoms after anterior vaginal wall prolapse repair.
METHODS
One hundred twenty-one patients undergoing anterior transvaginal mesh surgery was prospectively evaluated at baseline and 1 year after surgery using the urogenital distress inventory (UDI).
RESULTS
Overall UDI scores declined from 91 before surgery to 31 one year after surgery (P < 0.001). UDI subscales for obstructive and irritative symptoms improved 1 year after surgery (P < 0.001 for both) while stress symptoms did not (P = 0.11).
CONCLUSION
Trocar guided transvaginal mesh surgery for anterior vaginal wall prolapse was associated with an overall resolution of most symptoms associated with overactive bladder syndrome and bladder outlet obstruction. These beneficial effects should be weighed against an increased risk for stress urinary incontinence related to the procedure.
目的
评估经套管引导的经阴道网片在阴道前壁膨出修补术后对下尿路症状的影响。
方法
121 例接受经阴道前壁网片手术的患者在基线时和术后 1 年使用尿失禁影响问卷（UDI）进行前瞻性评估。
结果
总体 UDI 评分从术前的 91 分降至术后 1 年的 31 分（P<0.001）。术后 1 年，梗阻性和刺激性症状的 UDI 亚量表均得到改善（两者均 P<0.001），而压力性症状则没有（P=0.11）。
结论
经套管引导的经阴道网片手术治疗阴道前壁膨出与大多数与膀胱过度活动症和膀胱出口梗阻相关的症状的总体缓解相关。这些有益的效果应该与该手术引起的压力性尿失禁相关的风险增加相权衡。
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