Department of Obstetrics and Gynaecology, Solihull Hospital, Lode Lane, Solihull, West Midlands B91 2JL, United Kingdom.
Eur J Obstet Gynecol Reprod Biol. 2012 Jan;160(1):106-9. doi: 10.1016/j.ejogrb.2011.09.025. Epub 2011 Oct 13.
The management of voiding dysfunction after tension-free vaginal tape (TVT) remains controversial. Timing of surgical intervention is debatable and the role of conservative management is not well researched. This study aims to determine whether self catheterisation is an effective first line management option for these patients.
389 women underwent a TVT operation over a five year period. Twenty-two (5.6%) developed post-operative voiding dysfunction. Twenty women commenced CISC and their progress was monitored by recording voided volumes and residual urine volumes in a voiding diary and uroflowmetry. Residual volumes of less than 100 ml s were considered normal.
Voiding function returned to normal with self catheterisation in 72% of patients and of these, 85% were cured in less than 12 weeks.
CISC is a suitable and effective initial approach to managing the majority of cases of voiding dysfunction and avoids the risks associated with further surgery, including the recurrence of stress incontinence.
经阴道无张力吊带（TVT）术后排尿功能障碍的处理仍存在争议。手术干预的时机存在争议，保守治疗的作用也尚未得到充分研究。本研究旨在确定自我导尿是否是这些患者的有效一线治疗选择。
389 名女性在五年期间接受了 TVT 手术。22 名（5.6%）出现术后排尿功能障碍。20 名患者开始进行间歇性自我导尿（CISC），并通过排尿日记和尿流率测量记录排尿量和残余尿量来监测其进展。残余尿量小于 100ml 被认为是正常的。
72%的患者通过自我导尿恢复正常排尿功能，其中 85%在 12 周内治愈。
CISC 是管理大多数排尿功能障碍病例的合适且有效的初始方法，可避免与进一步手术相关的风险，包括压力性尿失禁的复发。
