Bergman A, Matthews L, Ballard C A
Division of Gynecology/Urology, Women's Hospital, University of Southern California Medical Center, Los Angeles.
Obstet Gynecol. 1987 Dec;70(6):909-12.
Eighty-nine consecutive patients with a clinically and urodynamically proved diagnosis of genuine stress urinary incontinence entered this study. Forty women had a revised Pereyra procedure and 49 had a Burch retropubic urethropexy. All had a suprapubic Bonnano catheter for postoperative bladder drainage. Postoperatively, patients were randomly allocated to "bladder training" (N = 44) or "nonbladder training" (N = 45) protocols. "Bladder training" consisted of scheduled clamping and unclamping of the catheter, whereas the "nonbladder training" patients had continuous bladder drainage throughout their postoperative period. Postvoiding residual urine volume was measured twice daily after the patient had voided with a symptomatically full bladder. The catheter was removed once residual volume was 50 mL or less. The bladder training protocol had no effect on resumption of spontaneous voiding after surgery. There was no significant change in length of postoperative bladder catheterization or in urinary tract infection rate among women with or without bladder training.
八十九例经临床和尿动力学证实为真性压力性尿失禁的连续患者进入本研究。40名女性接受了改良的佩雷拉手术，49名接受了耻骨后尿道固定术。所有患者均留置耻骨上博纳诺导管用于术后膀胱引流。术后，患者被随机分配至“膀胱训练”组（N = 44）或“非膀胱训练”组（N = 45）方案。“膀胱训练”包括定期夹闭和松开导管，而“非膀胱训练”组患者在术后全程持续膀胱引流。在患者膀胱有症状性充盈后排尿后，每天测量两次排尿后残余尿量。当残余尿量为50 mL或更少时拔除导管。膀胱训练方案对术后恢复自主排尿没有影响。接受或未接受膀胱训练的女性术后膀胱导尿时间及尿路感染率均无显著变化。
