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Clinical Practice Guidelines: Synthesis of the guidelines for the surgical treatment of primary pelvic organ prolapse in women by the AFU, CNGOF, SIFUD-PP, SNFCP, and SCGP.临床实践指南：AFU、CNGOF、SIFUD-PP、SNFCP和SCGP关于女性原发性盆腔器官脱垂手术治疗指南的综合。
J Gynecol Obstet Hum Reprod. 2017 May;46(5):387-391. doi: 10.1016/j.jogoh.2017.05.001. Epub 2017 May 12.
2
Clinical and urodynamic assessment in patients with pelvic organ prolapse before and after laparoscopic sacrocolpopexy.盆腔器官脱垂患者腹腔镜骶骨阴道固定术前及术后的临床和尿动力学评估
Int Urogynecol J. 2017 Oct;28(10):1543-1549. doi: 10.1007/s00192-017-3306-7. Epub 2017 Mar 10.
3
Quality of life in women of non-reproductive age with transvaginal mesh repair for pelvic organ prolapse: A cohort study.非生殖年龄段女性因盆腔器官脱垂行阴道网片修补术后的生活质量：一项队列研究。
Int J Surg. 2016 Sep;33 Pt A:36-41. doi: 10.1016/j.ijsu.2016.07.062. Epub 2016 Jul 25.
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High urinary flow in women with stress incontinence: corrected flow-age nomogram evaluation after a transobturator tape procedure.压力性尿失禁女性的高尿流率：经闭孔尿道中段悬吊带术后校正的尿流率-年龄列线图评估
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Predictors for de novo stress urinary incontinence following extensive pelvic reconstructive surgery.广泛盆腔重建手术后新发压力性尿失禁的预测因素。
Int Urogynecol J. 2015 Sep;26(9):1313-9. doi: 10.1007/s00192-015-2685-x. Epub 2015 Apr 11.
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Mixed urinary incontinence: international urogynecological association research and development committee opinion.混合性尿失禁：国际尿控协会研发委员会意见
Int Urogynecol J. 2014 Oct;25(10):1303-12. doi: 10.1007/s00192-014-2485-8. Epub 2014 Aug 5.
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Long-term durability, functional outcomes, and factors associated with surgical failure of tension-free vaginal tape procedure.无张力阴道吊带术的长期耐久性、功能结局以及与手术失败相关的因素。
Int Urol Nephrol. 2014 Oct;46(10):1921-7. doi: 10.1007/s11255-014-0759-1. Epub 2014 Jun 18.
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经阴道网片修补术后持续性压力性尿失禁的预测因素。

Predictors of persistent stress urinary incontinence after transvaginal mesh repair.

作者信息

Kawaguchi Shohei, Narimoto Kazutaka, Urata Satoko, Takeyama Masami, Kadono Yoshifumi, Mizokami Atsushi

机构信息

Department of Integrative Cancer Therapy and Urology, Kanazawa University Graduate School of Medical Science, 13-1, Takaramachi, Kanazawa, Ishikawa, 920-8641, Japan.

Department of Urogynecology, First Towakai Hospital, 2-17, Miyanochou, Takatsuki, Osaka, 569-0081, Japan.

出版信息

BMC Womens Health. 2018 Oct 25;18(1):174. doi: 10.1186/s12905-018-0667-0.

DOI:10.1186/s12905-018-0667-0
PMID:30359244
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6202820/
Abstract

BACKGROUND

We evaluated the effect of transvaginal mesh (TVM) surgery for voiding function and continence using noninvasive examination and questionnaire. The present study aimed to ascertain which categories of patients need concomitant mid-urethral sling (MUS) after TVM surgery.

METHODS

We included women who underwent TVM procedure between November 2009 and October 2013. Data from noninstrumented uroflowmetry and questionnaires about urinary symptoms were analyzed.

RESULTS

The present study investigated the cases of 961 women who underwent TVM surgery. The persistence of stress urinary incontinence (SUI) was 57.6%. Almost all the parameters measured using uroflowmetry and questionnaires significantly improved in all types of urinary incontinence 12 months after surgery. A history of hysterectomy, preoperative high flow (corrected maximum flow rate > 1.5), and preoperative urge urinary incontinence were independent risk factors for the persistence of SUI.

CONCLUSIONS

TVM for pelvic organ prolapse improved subjective and objective voiding function. Mixed urinary incontinence (MUI) patients with high urinary flow may be suitable for concomitant MUS with TVM because of the high level of SUI persistence.

摘要

背景

我们使用非侵入性检查和问卷调查评估了经阴道网片（TVM）手术对排尿功能和控尿的影响。本研究旨在确定哪些类型的患者在TVM手术后需要同时进行中段尿道吊带术（MUS）。

方法

我们纳入了2009年11月至2013年10月期间接受TVM手术的女性。分析了非仪器化尿流率测定数据和关于泌尿系统症状的问卷调查数据。

结果

本研究调查了961例接受TVM手术的女性病例。压力性尿失禁（SUI）的持续存在率为57.6%。术后12个月，几乎所有通过尿流率测定和问卷调查测量的参数在所有类型的尿失禁中均有显著改善。子宫切除术史、术前高流量（校正最大尿流率>1.5）和术前急迫性尿失禁是SUI持续存在的独立危险因素。

结论

TVM治疗盆腔器官脱垂可改善主观和客观排尿功能。由于SUI持续存在率较高，高尿流的混合性尿失禁（MUI）患者可能适合在TVM手术时同时进行MUS。