Division of Urologic Surgery, University of Tennessee Graduate School of Medicine, Knoxville, Tennessee 37920, USA.
Urology. 2011 Feb;77(2):321-4. doi: 10.1016/j.urology.2010.07.538. Epub 2010 Dec 16.
To present the longitudinal outcomes in an observational cohort of patients who had undergone treatment of stress urinary incontinence with a single incision mid-urethral sling (MUS).
A prospective, observational study of all female patients who had undergone surgical intervention with the MiniArc MUS was performed. The surgical candidates underwent history and physical examination and urodynamic testing, as indicated. Quality of life questionnaires (Urogenital Distress Inventory [UDI-6] and Incontinence Impact Questionnaire [IIQ-7]) were administered preoperatively. The salient operative data were recorded. The patients were followed up postoperatively for evidence of treatment success and adverse events. The patients completed the UDI-6, IIQ-7, and Female Sexual Function Index questionnaires at 1 and 12 months after treatment.
From September 2007 to October 2008, 120 patients underwent placement of the MiniArc MUS for the treatment of stress urinary incontinence. The mean patient age was 58.4 years. The mean body mass index was 27.2 kg/m(2). The mean preoperative daily pad use was 2.4. The mean preoperative IIQ-7 and UDI-6 score was 86.58 and 62.5, respectively. Of the 120 patients, 108 (90%) completed a minimum follow-up period of 12 months. Of these 108 patients, 101 (94%) were cured/dry. The mean postoperative pad use was 0.2 (P < .001). The mean IIQ-7 and UDI-6 score was 13.32 (P < .001) and 12.5 (P < .001), respectively. The Female Sexual Function Index results demonstrated no discomfort with intercourse in 49%, occasional discomfort in 9%, and frequent discomfort in 2%. The remaining 40% of our patients were not sexually active.
Our results have shown that the MiniArc MUS offers excellent outcomes that are durable at 1 year after treatment.
介绍接受单切口尿道中段吊带（MUS）治疗压力性尿失禁的患者的纵向结果。
对所有接受 MiniArc MUS 手术干预的女性患者进行了前瞻性、观察性研究。手术候选者接受了病史和体格检查以及尿动力学检查（视情况而定）。在术前进行了生活质量问卷（尿生殖窘迫问卷[UDI-6]和失禁影响问卷[IIQ-7]）。记录了显著的手术数据。术后对患者进行随访，以评估治疗效果和不良事件。患者在治疗后 1 个月和 12 个月时完成了 UDI-6、IIQ-7 和女性性功能指数问卷。
2007 年 9 月至 2008 年 10 月，120 例患者接受 MiniArc MUS 治疗压力性尿失禁。患者平均年龄为 58.4 岁。平均体重指数为 27.2kg/m2。术前平均每日尿垫使用量为 2.4 片。术前 IIQ-7 和 UDI-6 评分分别为 86.58 和 62.5。在 120 例患者中，108 例（90%）完成了至少 12 个月的随访。在这 108 例患者中，101 例（94%）治愈/干燥。术后平均尿垫使用量为 0.2（P<0.001）。IIQ-7 和 UDI-6 评分分别为 13.32（P<0.001）和 12.5（P<0.001）。女性性功能指数结果显示，49%的患者性生活无不适，9%的患者偶尔不适，2%的患者经常不适。其余 40%的患者没有性生活。
我们的结果表明，MiniArc MUS 在治疗 1 年后提供了出色的、持久的效果。
