患者报告结局与阴道无张力吊带手术后五年的尿控情况。

Patient-reported outcomes and urinary continence five years after the tension-free vaginal tape operation.

机构信息

Department of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria.

出版信息

Neurourol Urodyn. 2011 Nov;30(8):1512-7. doi: 10.1002/nau.21148. Epub 2011 Jul 20.

DOI:10.1002/nau.21148

PMID:21780167

Abstract

AIMS

To evaluate patient-reported outcomes and continence rates 5 years after the tension-free vaginal tape (TVT) operation and to compare these with subjective and objective cure rates.

METHODS

A total of 101 patients underwent clinical and urodynamic assessment and completed the Incontinence Outcome Questionnaire (IOQ) 5 years after the retropubic TVT operation. The IOQ results were compared with the subjective and objective cure rates.

RESULTS

At 5 years 85% of patients had a negative clinical stress test. Based on clinical stress test, stable cystometry to ≥300 ml and residual volume ≤100 ml, the physician assessment of cure was 80%. Patient-reported outcome showed improvement in incontinence symptoms in 86% of patients. Eighty-three percent of patients were satisfied with the results and 92% would recommend the operation to others. The results of the IOQ correlated more with patient-reported than with physician-assessed cure rates.

CONCLUSION

Patient report high rates of satisfaction 5 years after the TVT operation.

摘要

目的

评估经阴道无张力吊带（TVT）手术后 5 年的患者报告结局和尿失禁治愈率，并将其与主观和客观治愈率进行比较。

方法

共有 101 例患者在 TVT 耻骨后手术后 5 年进行了临床和尿动力学评估，并完成了尿失禁结局问卷（IOQ）。将 IOQ 结果与主观和客观治愈率进行比较。

结果

5 年后，85%的患者行临床压力测试为阴性。基于临床压力测试、稳定的膀胱测压至≥300ml 和残余尿量≤100ml，医生评估的治愈率为 80%。患者报告的结果显示，86%的患者的尿失禁症状得到改善。83%的患者对结果满意，92%的患者会向他人推荐该手术。IOQ 的结果与患者报告的治愈率比与医生评估的治愈率更相关。