Fischer W, Hegenscheid F, Jende W
Klinik für Gynäkologie und Geburtshilfe, Humboldt-Universität zu Berlin.
Z Urol Nephrol. 1988 Sep;81(9):571-4.
In a retrospective study the influence of maximum resting urethral closure pressure (CP) and body weight on the results of 33 fascial colposuspension operations were analyzed. The success rate of incontinence surgery was most inferior in cases in which the preoperative CP was lower than 50% of the age-related normal value. Incomplete success or even failure were also attributable mostly to patients with overweight. On the other side, also patients with considerable overweight and/or very low CP were treated successfully. It was unimportant whether fascial colposuspension was performed as primary or secondary operation or in combination with or after hysterectomy. The need to bladder neck elevation and the presence of optimal vaginal condition proved to be the decisive prerequisites for this approach.
在一项回顾性研究中，分析了最大静息尿道闭合压（CP）和体重对33例筋膜阴道悬吊术结果的影响。术前CP低于年龄相关正常值50%的病例中，尿失禁手术的成功率最低。不完全成功甚至失败也大多归因于超重患者。另一方面，相当超重和/或CP极低的患者也得到了成功治疗。筋膜阴道悬吊术是作为初次手术还是二次手术，或者是与子宫切除术联合进行还是在子宫切除术后进行，这并不重要。膀胱颈抬高的必要性和最佳阴道状况的存在被证明是这种手术方法的决定性前提条件。
