Department of Urology, Bucheon St. Mary's Hospital, The Catholic University of Korea School of Medicine, Bucheon, Korea.
Int Neurourol J. 2010 Dec;14(4):267-71. doi: 10.5213/inj.2010.14.4.267. Epub 2010 Dec 31.
We studied the influence of preoperative bladder outlet obstruction (BOO) on postoperative continence rates and patient satisfaction after the midurethral sling procedure.
A total of 159 women who underwent the midurethral sling procedure were evaluated. Using the Blaivas-Groutz nomogram, we assigned the patients were assigned to Group I (n=37, no obstruction), Group II (n=89, mild obstruction), or Group III (n=33, moderate to severe obstruction). Continence rates, patient satisfaction, urinary sensation scale and uroflowmetry were evaluated postoperatively.
There were no significant differences in continence rates, satisfaction, or postoperative maximal flow rate between the 3 groups. Postoperative urgency was improved after surgery in Groups I and II (P<0.05) but not in Group III.
BOO does not seem to be a risk factor for failure after the midurethral sling procedure. However, BOO may be considered as a potential factor for persistent storage symptoms after the midurethral sling.
我们研究了术前膀胱出口梗阻（BOO）对尿道中段吊带术（midurethral sling procedure）后控尿率和患者满意度的影响。
共评估了 159 名接受尿道中段吊带术的女性患者。根据 Blaivas-Groutz 列线图，我们将患者分为 I 组（n=37，无梗阻）、II 组（n=89，轻度梗阻）或 III 组（n=33，中度至重度梗阻）。术后评估控尿率、患者满意度、尿感量表和尿流率。
3 组间控尿率、满意度或术后最大尿流率无显著差异。I 组和 II 组术后急迫性均有改善（P<0.05），但 III 组无改善。
BOO 似乎不是尿道中段吊带术后失败的危险因素。然而，BOO 可能被认为是尿道中段吊带术后持续储存症状的潜在因素。
