Department of Obstetrics and Gynecology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Neurourol Urodyn. 2011 Mar;30(3):390-4. doi: 10.1002/nau.20947. Epub 2011 Jan 31.
To estimate the incidence of stress urinary incontinence (SUI) following vaginal repair of pelvic organ prolapse (POP) in preoperatively continent women and to evaluate the impact of the problem.
Women were eligible if they had undergone vaginal repairs for any degree or type of POP with no anti-incontinence procedure between July 1, 2004 and June 30, 2006, and had been continent preoperatively, as defined by a negative cough stress test with or without reduction of prolapse. Demographic, preoperative, operative, and postoperative data were retrieved from hospital charts. The incidence of postoperative SUI (POSUI) and its quality of life (QoL) impact were assessed by mailed questionnaire. The POSUI endpoint was defined by the report of SUI symptoms on the mailed questionnaire and/or affirmation of postoperative treatment for SUI.
Forty-two out of 100 respondents reported POSUI within the 2-year average follow-up period. Twelve of 37 symptomatic women (32%) were moderately or greatly bothered by their symptoms. The QoL impact score was generally low but was statistically greater in women with POSUI compared to those with no POSUI (13 vs. 3, P=0.0006).
The risk of POSUI following vaginal repairs of POP may be higher than previously reported and approximately one-third of women are bothered by these symptoms. These findings deserve further investigation.
评估术前控尿女性经阴道修复盆腔器官脱垂（POP）后发生压力性尿失禁（SUI）的发生率，并评估该问题的影响。
符合条件的女性为 2004 年 7 月 1 日至 2006 年 6 月 30 日期间因任何程度或类型的 POP 接受阴道修复术且术前无抗失禁手术且术前控尿的患者，定义为咳嗽压力试验阴性，伴或不伴有脱垂减轻。从病历中检索人口统计学、术前、手术和术后数据。通过邮寄问卷评估术后 SUI（POSUI）及其对生活质量（QoL）的影响。POSUI 终点定义为邮寄问卷中报告有 SUI 症状和/或术后治疗 SUI 的情况。
在 2 年的平均随访期间，100 名受访者中有 42 名报告 POSUI。37 名有症状的女性中有 12 名（32%）症状中度或重度困扰。生活质量影响评分普遍较低，但 POSUI 女性的评分明显高于无 POSUI 女性（13 分对 3 分，P=0.0006）。
阴道修复 POP 术后发生 POSUI 的风险可能高于先前报道，约三分之一的女性会被这些症状困扰。这些发现值得进一步研究。
