Bödeker J, Casanova M, Zingg E
Helv Chir Acta. 1989 Aug;56(3):359-60.
Forty patients with recurrence urinary stress incontinence (RUSI) were evaluated before and after Burch-colposuspension for voiding difficulties. Thirty-two (80%) patients were cured. Seven females developed an urge incontinence in the postoperative course, one female an urge plus stress incontinence. Residual urine was found in 6 of 7 patients with urge incontinence, in 5 patients a urinary tract infection. Four patients with urge incontinence after colposuspension were insulin dependent diabetics. In 18 patients residual urine was found in the postoperative course, only 6 patients were symptomatic with urge and urinary tract infection. We see a limited indication for Burch colposuspension in RUSI with reduction in vaginal mobility, detrusor hypocontractility, detrusor instability and in diseases predisposing to neurogenic bladder disorders.
对40例复发性尿失禁（RUSI）患者在进行Burch阴道悬吊术前后评估排尿困难情况。32例（80%）患者治愈。7例女性在术后出现急迫性尿失禁，1例女性出现急迫性加压力性尿失禁。7例急迫性尿失禁患者中有6例发现残余尿，5例患者发生尿路感染。4例阴道悬吊术后出现急迫性尿失禁的患者为胰岛素依赖型糖尿病患者。18例患者在术后发现残余尿，只有6例患者有急迫性和尿路感染症状。我们认为对于阴道活动度降低、逼尿肌收缩力减弱、逼尿肌不稳定以及易患神经源性膀胱疾病的RUSI患者，Burch阴道悬吊术的适应证有限。
