Glavind Karin, Bjørk Jonna, Lindquist Anna Sofie Inger
Department of Obstetrics and Gynecology, Aalborg Universitetshospital, Reberbansgade, 9000, Aalborg, Denmark,
Int Urogynecol J. 2014 Dec;25(12):1693-7. doi: 10.1007/s00192-014-2444-4. Epub 2014 Jun 27.
The aim of the study was to evaluate a new follow-up practice after anterior colporrhaphy for central cystocele involving nurse telephone follow-up.
A retrospective follow-up of all 84 patients with an anterior colporrhaphy operation during 2011 was performed. Standard postoperative procedure in uncomplicated cases of cystocele operation (first-time cystocele operation, no preoperative incontinence or voiding difficulties, and no immediate postoperative complications) was a telephone interview performed by a continence nurse 3 months after patient surgery. A local checklist comprising questions concerning complications, voiding dysfunction, and sexual life, as well as questions from the International Consultation on Incontinence Vaginal Symptoms (ICIQ-VS) and the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) were used. Complex cases were followed by the surgeon with a consultation including gynecological examination after 3 months.
Out of 84 patients with a cystocele operation, 59 were uncomplicated and had a telephone follow-up. Forty-four (75 %) were satisfied and needed no further consultation in the hospital. One patient could not be contacted. Fourteen patients had a consultation, three before the telephone consultation because of bleeding, five because of anxiety, and one each because of voiding dysfunction and prolapse symptoms. Four patients had persisting urinary incontinence and were incorrectly scheduled for a telephone interview.
Selecting uncomplicated cases for a nurse telephone follow-up after cystocele operation is feasible in a majority of cases. This allows doctors to see more new patients and focus on difficult cases, as well as saving time and money.
本研究的目的是评估一种针对中央性膀胱膨出的阴道前壁修补术后的新随访方式，该方式涉及护士电话随访。
对2011年接受阴道前壁修补手术的84例患者进行回顾性随访。膀胱膨出手术无并发症的标准术后程序（首次膀胱膨出手术，术前无尿失禁或排尿困难，术后无即刻并发症）是由尿失禁护士在患者术后3个月进行电话访谈。使用了一份本地检查表，其中包括有关并发症、排尿功能障碍和性生活的问题，以及国际尿失禁咨询委员会阴道症状问卷（ICIQ-VS）和国际尿失禁咨询委员会尿失禁问卷简表（ICIQ-UI SF）中的问题。复杂病例由外科医生在3个月后进行会诊，包括妇科检查。
在84例接受膀胱膨出手术的患者中，59例无并发症并接受了电话随访。44例（75%）表示满意，无需进一步住院会诊。有1例患者无法联系上。14例患者进行了会诊，3例在电话会诊前因出血进行会诊，5例因焦虑进行会诊，1例因排尿功能障碍和脱垂症状进行会诊。4例患者持续存在尿失禁，被错误地安排了电话访谈。
在大多数情况下，选择无并发症的病例在膀胱膨出手术后进行护士电话随访是可行的。这使医生能够诊治更多新患者并专注于疑难病例，同时节省时间和金钱。
