低尿道压力患者压力性尿失禁的手术治疗

Surgical management of stress incontinence in patients with low urethral pressure.

作者信息

Richardson D A, Ramahi A, Chalas E

机构信息

Department of Obstetrics and Gynecology, Grace Hospital, Wayne State University, Detroit, Mich.

出版信息

Gynecol Obstet Invest. 1991;31(2):106-9. doi: 10.1159/000293112.

DOI:10.1159/000293112

PMID:2037258

Abstract

Thirty-four women with genuine stress incontinence and low urethral closure pressure were studied pre- and postoperatively. A modified Burch retropubic urethropexy was performed in 29 patients with a cure rate of 78%, improvement in 7%, and failure in 15%. The modified Stamey procedure was performed in 5 patients with significant pelvic floor relaxation with a cure rate of 40% and improvement in 60%. If urethral mobility is present, traditional anti-incontinence procedures appear to be a reasonable alternative in patients with low urethral pressure.

摘要

对34名患有真性压力性尿失禁且尿道闭合压较低的女性进行了术前和术后研究。29例患者接受了改良的耻骨后尿道悬吊术，治愈率为78%，改善率为7%，失败率为15%。5例盆底明显松弛的患者接受了改良的Stamey手术，治愈率为40%，改善率为60%。如果存在尿道活动度，传统的抗尿失禁手术似乎是尿道压力较低患者的合理选择。