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[使用Surgimesh®吊带治疗压力性尿失禁:12个月随访期间患者生活质量和性功能的变化]

[Stress urinary incontinence treatment using Surgimesh® Sling, evolution on patient quality of life and sexual activity during 12 months follow-up].

作者信息

Hermieu J-F, Bron J, Momper W, Dessard P, Roumier X, Devins C O, Wiecek W, Sorba G

机构信息

Chirurgie Urologique, Hôpital Bichat-Claude-Bernard, 46 Rue Henri-Huchard, 75877 Paris, France.

出版信息

Prog Urol. 2011 Sep;21(8):554-61. doi: 10.1016/j.purol.2011.05.003. Epub 2011 Jun 30.

DOI:10.1016/j.purol.2011.05.003
PMID:21872159
Abstract

INTRODUCTION

Evaluation of quality of life (QOL) and sexual activity after using sub-urethral Surgimesh® Sling for female stress urinary incontinence (SUI).

METHODS

Study with a total duration of 12 months. One hundred and sixty-eight patients presenting a SUI underwent surgery for a Surgimesh® Sling implantation.

RESULTS

QOL was significantly improved on the International Consultation Continence Questionnaire (ICIQ) scale with an increase of the average score from 2.79±1.75 to 8.48±1.7 at 12 months (P<0.05). The percentage of patients undergoing sexual intercourses remains at a high level during the study (76.87% versus 78.33%). The number of patients with pain during sexual intercourse significantly decreased (15% versus 2.1%). The QOL score is significantly better in post-operation conditions (7.84 versus 9.20; P=0.001). In terms of continence at 12 months, 75.6% of women declared recovery and 23.53% observed improvements.

CONCLUSION

SUI correction using Surgimesh® Sling induces a very significant improvement in patients' QOL and sexual activity.

摘要

引言

评估使用尿道下Surgimesh®吊带治疗女性压力性尿失禁(SUI)后的生活质量(QOL)和性活动情况。

方法

为期12个月的研究。168例患有压力性尿失禁的患者接受了Surgimesh®吊带植入手术。

结果

国际尿失禁咨询问卷(ICIQ)量表显示生活质量有显著改善,12个月时平均得分从2.79±1.75提高到8.48±1.7(P<0.05)。在研究期间进行性交的患者百分比保持在较高水平(76.87%对78.33%)。性交时疼痛的患者数量显著减少(15%对2.1%)。术后生活质量评分明显更好(7.84对9.20;P=0.001)。在12个月时的控尿方面,75.6%的女性宣称恢复,23.53%观察到有改善。

结论

使用Surgimesh®吊带矫正压力性尿失禁可使患者的生活质量和性活动得到非常显著的改善。

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