El-Gamal Osama, Soliman Mohamed, Tawfik Ahmad, Abdel Raheem Ali
Urology Department, Tanta University Hospital, Tanta, Egypt.
Scand J Urol. 2013 Feb;47(1):57-62. doi: 10.3109/00365599.2012.700319. Epub 2012 Jul 16.
This article reports the early results of a novel sling used for the treatment of female stress urinary incontinence (SUI). This sling has a piece of autologous rectus fascia in its middle part and two arms of polypropylene mesh.
The study included 44 women with SUI. The preoperative work-up involved complete history taking, physical examination, cough stress test (CST) and 1 h pad weight test (PWT). Two questionnaires, the Urogenital Distress Inventory - Short Form (UDI-6) and the Incontinence Impact Questionnaire - Short Form (IIQ-7), were also completed preoperatively. The previously described sling was then inserted via the transobturator route in all patients. Postoperatively, the previous work-up was repeated for objective evaluation of the procedure and the subjective improvement was assessed by the Patient Global Impression of Improvement scale.
At the end of the first year, 92.9% of the patients had a negative CST, 85.7% had 1 h PWT <1 g and the subjective cure rate was 90.5%. In addition, the scores for both UDI-6 and IIQ-7 were found to be decreased significantly (p < 0.001). The recorded complications included temporary urinary retention, dyspareunia, de novo urge incontinence and groin pain in 4.8%, 4.8%, 7.1% and 11.9% of patients, respectively.
This hybrid sling appears to have good short-term efficacy and low cost.
本文报告一种用于治疗女性压力性尿失禁（SUI）的新型吊带的早期结果。该吊带中间部分有一块自体腹直肌筋膜，两侧为聚丙烯网片臂。
该研究纳入了44例压力性尿失禁女性患者。术前检查包括完整的病史采集、体格检查、咳嗽压力试验（CST）和1小时尿垫试验（PWT）。术前还完成了两份问卷，即泌尿生殖系统困扰量表简表（UDI - 6）和尿失禁影响问卷简表（IIQ - 7）。然后通过经闭孔途径为所有患者植入上述吊带。术后，重复术前检查以客观评估手术效果，并通过患者总体改善印象量表评估主观改善情况。
在第一年年底，92.9%的患者咳嗽压力试验结果为阴性，85.7%的患者1小时尿垫试验结果<1克，主观治愈率为90.5%。此外，发现UDI - 6和IIQ - 7的评分均显著降低（p < 0.001）。记录的并发症包括分别有4.8%、4.8%、7.1%和11.9%的患者出现暂时性尿潴留、性交困难、新发急迫性尿失禁和腹股沟疼痛。
这种混合吊带似乎具有良好的短期疗效且成本较低。
