经阴道无张力尿道中段悬吊带术（TVT）术后十年的不满原因。
Reasons for dissatisfaction ten years after TVT procedure.
作者信息
Aigmueller Thomas, Bjelic-Radisic Vesna, Kargl Julia, Hinterholzer Susanne, Laky Rene, Trutnovsky Gerda, Kolovetsiou-Kreiner Vassiliki, Tamussino Karl
机构信息
Department of Gynecology and Obstetrics, Medical University of Graz, Auenbruggerplatz 14, 8036, Graz, Austria,
出版信息
Int Urogynecol J. 2014 Feb;25(2):213-7. doi: 10.1007/s00192-013-2213-9. Epub 2013 Sep 13.
INTRODUCTION AND HYPOTHESIS
The aim of the study was to assess the reasons for dissatisfaction 10 years after TVT placement.
METHODS
Patients who underwent TVT surgery between 1999 and 2001 at two participating units were included. All patients who did not consider themselves to be cured were asked for their reasons.
RESULTS
141 out of 210 patients (81 %) were available for follow-up (median 116 months). In the group of 56 patients who did not consider themselves cured, the reasons were OAB symptoms in 29 patients (52 %), stress urinary incontinence in 13 patients (23 %), and complaints of mixed urinary incontinence in 8 patients (14 %). 85 % of all patients reporting urgency complaints at the time of follow-up and 66 % of patients with SUI at the time of follow-up did not consider themselves cured.
CONCLUSIONS
In most cases overactive bladder symptoms were the reason for dissatisfaction. The results of this study support using composite outcomes to assess the results of surgery for urinary incontinence.
引言与假设
本研究的目的是评估经阴道无张力尿道中段悬吊带术（TVT）置入术后10年患者不满意的原因。
方法
纳入1999年至2001年在两个参与单位接受TVT手术的患者。询问所有认为自己未治愈的患者原因。
结果
210例患者中有141例（81%）获得随访（中位随访时间116个月）。在56例认为自己未治愈的患者中，29例（52%）的原因是膀胱过度活动症（OAB）症状，13例（23%）是压力性尿失禁，8例（14%）是混合性尿失禁。随访时所有报告尿急症状的患者中有85%以及随访时患有压力性尿失禁的患者中有66%认为自己未治愈。
结论
在大多数情况下，膀胱过度活动症症状是不满意的原因。本研究结果支持使用综合结果来评估尿失禁手术的效果。
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