Hertogs K, Stanton S L
Br J Obstet Gynaecol. 1985 Nov;92(11):1184-8. doi: 10.1111/j.1471-0528.1985.tb03035.x.
To test the postulate that colposuspension cures genuine stress incontinence by repositioning the proximal urethra against the posterosuperior surface of the symphysis pubis, 48 patients cured by colposuspension were studied to note the effects of a barrier placed in the vagina to interrupt the posterior route of force transmission. The barrier reduced peak transmission by 59% (P less than 0.0001). When the barrier was used to block compression by the high cystocoele, stress incontinence recurred transiently in 90% of patients. These results confirm Hilton's postulate (1981) that colposuspension constructs a novel, mechanical urinary sphincter rather than restoring normal sphincter function.
为验证阴道悬吊术通过将尿道近端重新定位至耻骨联合后上表面来治疗真性压力性尿失禁这一假设，对48例经阴道悬吊术治愈的患者进行了研究，以观察置于阴道内的屏障物对中断后向力传递途径的影响。该屏障物使峰值传递降低了59%（P<0.0001）。当使用该屏障物来阻止高位膀胱膨出的压迫时，90%的患者出现了暂时性压力性尿失禁复发。这些结果证实了希尔顿（1981年）的假设，即阴道悬吊术构建了一种新型的机械性尿道括约肌，而非恢复正常的括约肌功能。
