Ferrari A, Frigerio L, Gandini L, Daccò R, DiTerlizzi M, Dindelli M, Guarnerio P
1 Clinica Ostetrico-Ginecologica, Università degli studi di Milano.
Ann Ostet Ginecol Med Perinat. 1990 Jul-Aug;111(4):223-7.
We considered 49 patients suffering from urinary stress incontinence, operated from January 1984 to December 1989 by Marshall-Marchetti modified after Symmonds procedure. 13 patients had one or more previous surgical procedures. We made urodynamic preoperative tests and a stress test (after Ferrari) in all our cases. We obtained: complete recovery in 80% of our cases, improvement in 14% and failure in 6%; particularly the recovery percentage in our patients operated for the first time was the 97.2%; in the recurrences we had complete success in 46%, an improvement in 38.5% and surgical failure in 15.5%. Complications were observed in 1 patient affected by pubic osteitis, treated with medical therapy. Only 3 patients had an incomplete bladder emptying one year after the surgical operation, with value of the post micturitional residual volume of about 1/3 of the maximal cystometric capacity.
我们研究了49例患有压力性尿失禁的患者，这些患者于1984年1月至1989年12月接受了经Symmonds手术改良的Marshall-Marchetti手术。13例患者曾接受过一次或多次先前的外科手术。我们对所有病例均进行了术前尿动力学检查和（Ferrari法之后的）压力试验。我们得到的结果如下：80%的病例完全恢复，14%有所改善，6%失败；特别是首次接受手术的患者恢复率为97.2%；在复发患者中，46%完全成功，38.5%有所改善，15.5%手术失败。观察到1例患者出现耻骨骨炎并发症，接受了药物治疗。仅3例患者在手术后一年膀胱排空不完全，排尿后残余尿量约为最大膀胱测压容量的1/3。
