Kuzmarov I W
Urology. 1984 Sep;24(3):236-8. doi: 10.1016/0090-4295(84)90349-2.
A retrospective analysis of 51 women presenting with stress urinary incontinence was performed. Preoperative assessment protocol consisted of a careful history and physical examination, urinalysis and culture, cystoscopy, urodynamic study, beaded-chain cystogram, and intravenous pyelogram (IVP). All patients in the study were subjected to the Marshall-Marchetti-Krantz vesicourethral suspension procedure. The overall incidence of detrusor instability was 38.8 per cent. Surgical success rate was 92.5 per cent. Identification of detrusor instability was considered not to be a deterrent to surgery, nor a prognosticator of surgical failure. The chain cystogram was believed to be of little value in cases that had undergone previous surgical corrective attempts. Urodynamic studies were felt helpful in patients presenting with mixed symptom patterns, as well as in patients previously operated on for stress urinary incontinence. The preoperative IVP was not found to be a cost-effective study.
对51例压力性尿失禁女性患者进行了回顾性分析。术前评估方案包括详细的病史和体格检查、尿液分析和培养、膀胱镜检查、尿动力学研究、串珠状膀胱造影以及静脉肾盂造影（IVP）。研究中的所有患者均接受了马歇尔 - 马凯蒂 - 克兰茨膀胱尿道悬吊术。逼尿肌不稳定的总体发生率为38.8%。手术成功率为92.5%。逼尿肌不稳定的识别被认为既不是手术的阻碍因素，也不是手术失败的预测指标。对于之前接受过手术矫正尝试的病例，串珠状膀胱造影被认为价值不大。尿动力学研究对出现混合症状模式的患者以及先前因压力性尿失禁接受过手术的患者有帮助。术前静脉肾盂造影未被发现是一项具有成本效益的检查。
