Stage P, Fischer-Rasmussen W, Hansen R I
Acta Obstet Gynecol Scand. 1986;65(5):401-4. doi: 10.3109/00016348609157372.
The value of colpo-cysto-urethrography (CCU) in female stress- and urge incontinence was measured. In a prospective series of 172 consecutive females with stress- or urge incontinence, CCU was performed and assessed with regard to no suspension defects, anterior defects, or posterior defects, respectively. Six months following operative repair for stress incontinence, CCU was repeated in 97 patients and compared with operative success. CCU was of minor value in the differentiation between stress- and urge incontinence. In stress incontinence, CCU was of greater value for the preoperative planning of operative technique, vaginal or abdominal, but could be omitted when pelvic examination did not disclose genital prolapse, as this excluded posterior suspension defects at CCU. Postoperative CCU was of minor value, and poorly correlated to operative success or failure. Stress incontinence with anterior suspension defects was best treated by abdominal colposuspension, even when complicated by genital prolapse. With no suspension defect at CCU, vaginal and abdominal repair were equally good alternatives. Posterior suspension defects had the lowest cure rate.
评估了阴道膀胱尿道造影术（CCU）在女性压力性和急迫性尿失禁中的价值。在一项对172例连续性压力性或急迫性尿失禁女性患者的前瞻性研究中，分别对这些患者进行了CCU检查，并评估有无悬吊缺陷、前部缺陷或后部缺陷。在对压力性尿失禁进行手术修复6个月后，对97例患者再次进行了CCU检查，并与手术成功率进行比较。CCU在区分压力性和急迫性尿失禁方面价值不大。在压力性尿失禁中，CCU对手术技术（阴道或腹部）的术前规划有较大价值，但当盆腔检查未发现生殖器脱垂时可省略，因为这可排除CCU检查时的后部悬吊缺陷。术后CCU价值不大，与手术成败相关性较差。即使合并生殖器脱垂，有前部悬吊缺陷的压力性尿失禁最好采用腹部阴道悬吊术治疗。若CCU检查无悬吊缺陷，阴道修复和腹部修复是同样好的选择。后部悬吊缺陷的治愈率最低。
