Koppe A, Koppius P W, Lens van Rijn J M, Bessem N D
Eur J Obstet Gynecol Reprod Biol. 1984 Jan;16(5):359-64. doi: 10.1016/0028-2243(84)90165-5.
The surgical treatment of 409 patients with genital prolapse is described. The procedure, which invariably included hysterectomy, concentrated upon one of the major complaints of these patients, i.e., their stress-incontinence. Special care was taken not to shorten the urethral length. Two hundred of these patients were available for a relatively long follow-up period ranging from 7 to 13 yr. Within the first post-operative year, stress-incontinence appeared to have been cured in 90% of the patients. The long-term results show that the percentage of continent women has diminished to 81, which is an important finding probably not attributable to the surgical technique. In the long term, the second most frequent complaint of low back pain has recurred in 29% of our patients.
本文描述了409例生殖器脱垂患者的外科治疗情况。该手术总是包括子宫切除术，重点针对这些患者的主要主诉之一，即压力性尿失禁。特别注意不缩短尿道长度。其中200例患者有相对较长的随访期，从7年到13年不等。在术后第一年，90%的患者压力性尿失禁似乎已治愈。长期结果显示，能控制排尿的女性比例降至81%，这一重要发现可能与手术技术无关。从长期来看，第二常见的主诉腰痛在29%的患者中复发。
