Rydhström H, Iosif C S
Department of Obstetrics and Gynecology, University Hospital, Lund, Sweden.
Arch Gynecol Obstet. 1988;241(4):201-7. doi: 10.1007/BF00931351.
We compared urodynamic parameters in a group of 30 healthy women of fertile age, before and after primary retropubic colpo-urethrocystopexy carried out to correct genuine stress urinary incontinence. The mean interval between surgical treatment and follow-up was 38.0 (SD 10.2) months. In 26 women, subjectively and objectively cured at follow-up, we found an increase of 5.1 mm in functional length of the urethra (t = 4.5; P less than 0.001), an increase of 12.3 cm H2O in the urethral closure pressure (t = 3.9; P less than 0.001), and a 22.1% increase in the transmission ratio (t = 3.2; P less than 0.01). However, 9 of these 26 women satisfied with the results of the surgical treatment showed a drop in at least 2 of the parameters studied. In the group of 4 women not satisfied with the results of the surgical treatment we found an improvement in all of the urodynamic parameters studied, similar to those found in the group of satisfied women, though less pronounced. This study indicates that successful surgical treatment of genuine stress urinary incontinence is not related to surgically induced changes in the urodynamic parameters.
我们比较了30名育龄期健康女性在进行耻骨后阴道尿道膀胱固定术以纠正真性压力性尿失禁前后的尿动力学参数。手术治疗与随访之间的平均间隔时间为38.0（标准差10.2）个月。在随访时主观和客观上均治愈的26名女性中，我们发现尿道功能长度增加了5.1毫米（t = 4.5；P小于0.001），尿道闭合压增加了12.3厘米水柱（t = 3.9；P小于0.001），传递率增加了22.1%（t = 3.2；P小于0.01）。然而，这26名对手术治疗结果满意的女性中有9名至少在两项研究参数上出现下降。在对手术治疗结果不满意的4名女性组中，我们发现所有研究的尿动力学参数均有改善，与满意女性组相似，尽管不太明显。这项研究表明，真性压力性尿失禁的成功手术治疗与手术引起的尿动力学参数变化无关。
