Schüssler B
Frauenklinik im Klinikum Grosshadern, Universität München.
Arch Gynecol Obstet. 1989;245(1-4):792-4. doi: 10.1007/BF02417570.
The basis of any quality control after surgery for SUI is objective control by pre- and postoperative quantification of urinary loss. Whereas a clinical stress test or the ICS pad-weigh-test allows to quantify, history as well as urodynamic data do not. For analysis of failures the whole diagnostic range (history, urodynamic, radiology/sonography, gynecologic examination) is needed, which enables to decide about second line therapy. Voiding difficulties and urge-incontinence after surgery for SUI are major complications and have to be critically analysed.
压力性尿失禁手术后任何质量控制的基础都是通过术前和术后尿失禁量的量化进行客观控制。虽然临床压力测试或国际尿控学会尿垫称重测试可以进行量化,但病史和尿动力学数据却无法做到。对于失败病例的分析,需要全面的诊断范围(病史、尿动力学、放射学/超声检查、妇科检查),这有助于决定二线治疗方案。压力性尿失禁手术后的排尿困难和急迫性尿失禁是主要并发症,必须进行严格分析。