Miranne Jeannine M, Hampton Brittany Star, Sung Vivian W
Women and Infants Hospital of Rhode Island, Warren Alpert Medical School of Brown University, Providence, RI 02905, USA.
Int Urogynecol J. 2012 Jun;23(6):805-7. doi: 10.1007/s00192-011-1617-7. Epub 2011 Dec 6.
We describe techniques and objective and subjective outcomes for women who underwent midurethral sling (MUS) shortening for persistent stress urinary incontinence (SUI). This is a case series of women who underwent MUS shortening for SUI within 8 weeks of initial MUS placement. Objective and subjective findings including Urinary Distress Inventory (UDI)-6 and Urinary Impact Questionnaire (UIQ)-7 scores are reported, and shortening techniques are described. Between June 2007 and June 2010, three women underwent MUS shortening for persistent SUI within 8 weeks of initial MUS placement. Shortening was performed with either midline plication or mesh excision and reapproximation. Five months postoperative to shortening, one woman reported subjective improvement in SUI symptoms, and two had subjective and objective resolution of SUI. All showed improvement from baseline in UDI-6 and UIQ-7 scores. There were no erosions. MUS shortening may offer a safe and effective option for management of persistent SUI.
我们描述了因持续性压力性尿失禁（SUI）而接受尿道中段吊带（MUS）缩短术的女性的技术以及客观和主观结果。这是一组在初次放置MUS后8周内接受SUI的MUS缩短术的女性病例系列。报告了包括尿失禁困扰量表（UDI）-6和尿失禁影响问卷（UIQ）-7评分在内的客观和主观结果，并描述了缩短技术。2007年6月至2010年6月期间，三名女性在初次放置MUS后8周内接受了SUI的MUS缩短术。缩短术采用中线折叠或网片切除及重新缝合。缩短术后五个月，一名女性报告SUI症状主观改善，两名女性SUI主观和客观症状均消失。所有患者的UDI-6和UIQ-7评分均较基线有所改善。未出现侵蚀现象。MUS缩短术可能为持续性SUI的治疗提供一种安全有效的选择。
