Lim P H, Brown A D, Chisholm G D
Department of Surgery, Toa Payoh Hospital, Singapore.
Singapore Med J. 1990 Jun;31(3):242-6.
One hundred and thirteen patients with genuine stress incontinence were treated by a modified Burch Colposuspension after having failed an adequate trial with medical management. Three-quarters of patients were evaluated with pre-operative video-cystometry (video-C.M.G.) while a third underwent post-operative video-cystometry. Flow rates were generally lower after surgery with 3 of the 113 patients developing post-surgery bladder instability. Previous incontinence surgery and higher parity produced statistically a greater number of failures. The overall subjective success of the operation was 80% with another 12% improved at 2 years. A 5 year long-term questionnaire follow-up did not demonstrate marked changes in these figures. The operation itself carries a 16% incidence of significant early complications, while late complications totalled 23%, the latter being primarily minor conditions. Patients left hospital after an average of 10 days.
113例真性压力性尿失禁患者在接受充分的药物治疗试验失败后，接受了改良的Burch阴道悬吊术。四分之三的患者在术前接受了视频膀胱测压法（video-C.M.G.）评估，三分之一的患者在术后接受了视频膀胱测压法评估。术后流速通常较低，113例患者中有3例出现术后膀胱不稳定。既往尿失禁手术和较高的产次在统计学上导致更多的手术失败。手术的总体主观成功率为80%，另有12%在2年后有所改善。一项为期5年的长期问卷调查随访并未显示这些数字有明显变化。手术本身早期严重并发症的发生率为16%，而晚期并发症总计为23%，后者主要为轻微病症。患者平均住院10天后出院。
