Department of Obstetrics & Gynecology, Division of Urogynecology-Female Pelvic Medicine & Reconstructive Surgery, Kaiser Permanente East Bay, Oakland, California.
Clin Obstet Gynecol. 2021 Jun 1;64(2):314-320. doi: 10.1097/GRF.0000000000000615.
The multifactorial pathophysiology of pelvic floor disorder accounts for the coexistence of several pelvic floor disorders in many women. Up to 54% of women with pelvic organ prolapse (POP) report concurrent stress urinary incontinence (SUI). While POP is a risk factor for coexistent SUI, apical and anterior prolapse can also conceal SUI symptoms that are unmasked by POP repair, resulting in de novo SUI postoperatively. It is important for pelvic reconstructive surgeons to consider the relationship between POP and urinary incontinence in presurgical planning and to discuss with patients the risks and advantages of concurrent versus staged anti-incontinence procedures.
盆底功能障碍的多因素病理生理学解释了许多女性同时存在多种盆底功能障碍。多达 54%的盆腔器官脱垂（POP）患者报告同时存在压力性尿失禁（SUI）。虽然 POP 是合并 SUI 的一个危险因素，但顶前脱垂也可能掩盖 SUI 症状，POP 修复后这些症状会显现，导致术后新发 SUI。对于盆底重建外科医生来说，在术前计划中考虑 POP 和尿失禁之间的关系，并与患者讨论同期与分期抗失禁手术的风险和优势非常重要。
