Iosif S, Ulmsten U
Zentralbl Gynakol. 1979;101(22):1433-42.
Twenty-one women, 11 suffering from both prolapse and stress incontinence and 10 with prolapse only were investigated before and at different intervals after surgical repair of the disorders. The investigations comprised a gynaecological examination, urine culture, observation of residual urine and simultaneous urethro-cystometry including measurement of the urethral pressure profile.--The prolapse patients were operated upon by conventional Manchester technique. The patients suffering from both prolapse and stress incontinence were operated with a combined vaginal-abdominal repair using Lyodura slings.--It was found that the pre-operative urethral pressure at rest was lower in the inconinent-prolapse patients compared with that in patients suffering from prolapse only. After surgery the urethral pressure at rest was significantly decreased in the incontinent-prolapse patients whereas it did not change in patients operated because of prolaspe only.--Prior to the operation, all incontinent-prolapse women had a negative urethral closure pressure at stress. After surgery the closure pressure became positive in all patients and none complained about urinary incontinence. In all patients suffering from prolapse only the urethral closure pressure was positive at stress before as well as after surgery. The functional and the absolute urethral lengths increased in both categories of patients after the operation.
21名女性接受了研究，其中11名患有子宫脱垂和压力性尿失禁，10名仅患有子宫脱垂。在对这些病症进行手术修复之前及术后不同时间段对她们进行了调查。调查包括妇科检查、尿培养、残余尿量观察以及同步尿道膀胱测压，包括测量尿道压力分布图。——子宫脱垂患者采用传统的曼彻斯特技术进行手术。同时患有子宫脱垂和压力性尿失禁的患者采用Lyodura吊带进行阴道-腹部联合修复手术。——结果发现，与仅患有子宫脱垂的患者相比，合并尿失禁和子宫脱垂的患者术前静息时尿道压力较低。手术后，合并尿失禁和子宫脱垂的患者静息时尿道压力显著降低，而仅因子宫脱垂接受手术的患者该压力未发生变化。——手术前，所有合并尿失禁和子宫脱垂的女性在应激状态下尿道闭合压力均为阴性。手术后，所有患者的闭合压力均变为阳性，且无一例抱怨尿失禁。在所有仅患有子宫脱垂的患者中，术前和术后应激状态下尿道闭合压力均为阳性。两类患者术后功能性尿道长度和绝对尿道长度均增加。
