Pigné A, Boyer de Latour F, Keskes J, Laroussinie M P, Maghioracos P, Marpeau L, Barrat J
Clinique Universitaire Gynécologique et Obstétricale, l'Hôpital Saint-Antoine, Paris.
J Gynecol Obstet Biol Reprod (Paris). 1988;17(3):379-86.
The authors describe this operation, which is carried out as a single procedure which they have been doing since 1982. Then the results in 90 patients are studied. The post-operative controls carried out on the clinical state of the patient and on the urodynamic tests show that this operation is very successful, both in curing stress incontinence and in giving a good anatomical result for correcting prolapse of the anterior wall of the vagina. In over one-third of the cases the post-operative follow-up has been carried out for 2 years or more. This follow-up has shown that the relapse rate over a period of time, both for the stress incontinence and the prolapse, is nil. The principal snags that still remain are: post-operative infection in about a third of cases; the rare but possible development of an enterocele and of dyspareunia (2%).
作者描述了这项自1982年起就作为单一手术操作开展的手术。随后对90例患者的手术结果进行了研究。对患者临床状况及尿动力学检查所做的术后对照显示,该手术在治疗压力性尿失禁以及在纠正阴道前壁脱垂方面获得良好解剖学效果上均非常成功。超过三分之一的病例术后随访已达2年或更长时间。该随访表明,在一段时间内,压力性尿失禁和脱垂的复发率均为零。仍然存在的主要问题有:约三分之一的病例术后感染;肠疝及性交困难虽罕见但仍有可能发生(2%)。