Richmond D H, Sutherst J R
Department of Obstetrics, Royal Liverpool Hospital.
Br J Urol. 1989 Dec;64(6):600-3. doi: 10.1111/j.1464-410x.1989.tb05317.x.
Twenty-nine women with stress incontinence were treated surgically by Burch colposuspension or ox fascial sling. The operation was selected prospectively according to the transrectal ultrasound appearance of the bladder neck and urethra during stress. Two groups were defined according to the extent of bladder neck descent and posterior rotation during stress: Type I (minimal descent, i.e. less than 1.5 cm) and Type II (downward posterior rotational movement). Success rates of 76% are reported and the action of each procedure is discussed.
29名压力性尿失禁女性接受了Burch阴道悬吊术或耻骨后筋膜吊带手术治疗。手术是根据压力状态下膀胱颈和尿道的经直肠超声表现前瞻性选择的。根据压力状态下膀胱颈下降和后旋转的程度将患者分为两组:I型(最小下降,即小于1.5厘米)和II型(向后向下旋转运动)。报告的成功率为76%,并讨论了每种手术的作用。