Bergman A, Matthews L, Ballard C A, Roy S
Obstet Gynecol. 1987 Apr;69(4):546-9.
Fifty-one patients with clinical and urodynamic diagnoses of stress urinary incontinence were randomly allocated to either suprapubic (N = 24) or transurethral (N = 27) bladder drainage after vaginal surgery for stress incontinence (revised Pereyra procedure). Postoperative use of suprapubic bladder drainage significantly reduced febrile morbidity (calculated as fever index; P less than .01) and length of hospitalization (P less than .05). Postoperative normal bladder functions resumed more quickly when suprapubic drainage was used (P less than .05), so that most patients did not need bladder catheterization upon discharge, as opposed to more than half of those with Foley catheters, who left the hospital with a catheter in place (P less than .05). We conclude that it is both beneficial and cost-effective to use suprapubic bladder drainage after a Pereyra operation for stress urinary incontinence.
51例经临床及尿动力学诊断为压力性尿失禁的患者在接受阴道手术治疗压力性尿失禁（改良佩雷拉手术）后，被随机分为耻骨上膀胱引流组（n = 24）或经尿道膀胱引流组（n = 27）。耻骨上膀胱引流术后使用可显著降低发热发病率（以发热指数计算；P<0.01）和住院时间（P<0.05）。使用耻骨上引流时，术后膀胱功能恢复更快（P<0.05），因此大多数患者出院时无需膀胱插管，而使用弗利氏导尿管的患者中超过一半出院时仍留置导尿管（P<0.05）。我们得出结论，佩雷拉手术治疗压力性尿失禁后使用耻骨上膀胱引流既有益又具有成本效益。
