盆腔器官脱垂手术后膀胱过度活动症症状的预测因素。
Predictive factors for overactive bladder symptoms after pelvic organ prolapse surgery.
作者信息
de Boer Tiny A, Kluivers Kirsten B, Withagen Mariella I J, Milani Alfredo L, Vierhout Mark E
机构信息
Department of Obstetrics and Gynaecology, Radboud University Nijmegen Medical Centre, P. O. Box 9101, 6500 HB, Nijmegen, The Netherlands.
出版信息
Int Urogynecol J. 2010 Sep;21(9):1143-9. doi: 10.1007/s00192-010-1152-y. Epub 2010 Apr 24.
Abstract
INTRODUCTION AND HYPOTHESIS
This study focussed on the factors which predict the presence of symptoms of overactive bladder (OAB) after surgery for pelvic organ prolapse (POP).
METHODS
Consecutive women who underwent POP surgery with or without the use of vaginal mesh materials in the years 2004-2007 were included. Assessments were made preoperatively and at follow-up, including physical examination (POP-Q) and standardised questionnaires (IIQ, UDI and DDI).
RESULTS
Five hundred and five patients were included with a median follow-up of 12.7 (6-35) months. Bothersome OAB symptoms decreased after POP surgery. De novo bothersome OAB symptoms appeared in 5-6% of the women. Frequency and urgency were more likely to improve as compared with urge incontinence and nocturia. The best predictor for the absence of postoperative symptoms was the absence of preoperative bothersome OAB symptoms.
CONCLUSION
The absence of bothersome OAB symptoms preoperatively was the best predictor for the absence of postoperative symptoms.
摘要
引言与假设
本研究聚焦于预测盆腔器官脱垂（POP）手术后膀胱过度活动症（OAB）症状出现的因素。
方法
纳入2004年至2007年间接受POP手术（无论是否使用阴道网片材料）的连续女性患者。术前及随访时进行评估，包括体格检查（POP-Q）和标准化问卷（IIQ、UDI和DDI）。
结果
纳入505例患者，中位随访时间为12.7（6 - 35）个月。POP手术后令人困扰的OAB症状有所减轻。5% - 6%的女性出现了新的令人困扰的OAB症状。与急迫性尿失禁和夜尿症相比，尿频和尿急更有可能改善。术后无症状的最佳预测因素是术前无令人困扰的OAB症状。
结论
术前无令人困扰的OAB症状是术后无症状的最佳预测因素。
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