Ye Y, Tian W J, Wang Y, Guo J B, Gao Q Q, Zhu L
Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, National Clinical Research Center for Obstetric and Gynecologic Diseases, Beijing 100730, China.
Zhonghua Fu Chan Ke Za Zhi. 2022 Oct 25;57(10):753-757. doi: 10.3760/cma.j.cn112141-20220504-00295.
To analyze the long-term outcomes of different secondary surgeries in women with recurrent stress urinary incontinence (SUI) after Burch colposuspension. Between February 2004 to February 2010, five women with recurrent SUI after Burch colposuspension in Peking Union Medical College Hospital were retrospectively followed up, and the long-term outcomes of secondary surgeries were analyzed. Subjective cures of Burch colposuspension and secondary surgeries were assessed by patients' self-reported incontinence symptoms and patient global impression of improvement questionnaire; objective cure, improvement or failure were determined by 1-hour pad test. Three women underwent tension-free vaginal tape-retropubic (TVT) as the secondary surgery, one underwent tension-free vaginal tape-obturator (TVT-O), and one underwent single-incision tension-free vaginal tape-Secur (TVT-Secur). The follow-up period of five women was (14.6±2.4) years (range: 10.8 to 16.9 years). Three women undergoing TVT secondary surgery were subjectively cured; while the other two women undergoing TVT-O or TVT-Secur were not subjectively cured, but the woman undergoing TVT-O was objectively improved. It is feasible for women with recurrent SUI after Burch colposuspension to receive the secondary surgery. Our limited data suggests that TVT could be considered.
分析Burch阴道悬吊术后复发性压力性尿失禁（SUI）女性患者不同二次手术的长期疗效。回顾性随访2004年2月至2010年2月在北京协和医院接受Burch阴道悬吊术后出现复发性SUI的5例女性患者，分析二次手术的长期疗效。通过患者自我报告的失禁症状和患者总体改善印象问卷评估Burch阴道悬吊术和二次手术的主观治愈情况；通过1小时垫试验确定客观治愈、改善或失败情况。3例女性患者接受无张力阴道吊带耻骨后间隙（TVT）作为二次手术，1例接受无张力阴道吊带闭孔（TVT-O），1例接受单切口无张力阴道吊带-Secur（TVT-Secur）。5例女性患者的随访时间为（14.6±2.4）年（范围：10.8至16.9年）。3例接受TVT二次手术的女性患者主观治愈；而另外2例接受TVT-O或TVT-Secur的女性患者未主观治愈，但接受TVT-O的女性患者客观上有改善。Burch阴道悬吊术后复发性SUI的女性患者接受二次手术是可行的。我们有限的数据表明可以考虑TVT。
