Milani A L, Flu P K, Vierhout M E, Wallenburg H C
Ikazia Ziekenhuis, Afd. Obstetrie en Gynaecologie, Rotterdam.
Ned Tijdschr Geneeskd. 1993 Jan 30;137(5):250-5.
Between 1985 and 1987, 191 consecutive patients with a genital prolapse combined in 50% of the cases with urinary incontinence, underwent a vaginal repair with or without hysterectomy in the Ikazia hospital, Rotterdam. In a prospective study design, results and complications were assessed 4 and 12 months after the procedure. Mortality was 1%, morbidity was low; bladder or bowel injury did not occur. Vaginal prolapse recurred after 4 and 12 months in 4 and 6% of the patients, respectively. Of patients with involuntary loss of urine 31% still complained of incontinence 4 months after the operation; after one year this percentage was 49. Dyspareunia was a frequent complaint (41%), probably as a result of the posterior vaginal repair which was performed in all patients. We conclude that vaginal repair, with or without hysterectomy, allows successful treatment of genital prolapse, but is less satisfactory for the treatment of urinary incontinence, and a frequent cause of dyspareunia.
1985年至1987年间，鹿特丹伊卡齐亚医院对191例生殖器脱垂患者进行了阴道修复手术，其中50%的患者合并尿失禁，部分患者同时进行了子宫切除术。采用前瞻性研究设计，在术后4个月和12个月评估手术结果和并发症。死亡率为1%，发病率较低；未发生膀胱或肠道损伤。术后4个月和12个月，分别有4%和6%的患者出现阴道脱垂复发。在术后4个月，31%的尿失禁患者仍主诉有尿失禁症状；一年后，这一比例为49%。性交困难是常见的主诉（41%），可能是由于所有患者均进行了阴道后壁修复术。我们得出结论，无论是否进行子宫切除术，阴道修复术都能成功治疗生殖器脱垂，但治疗尿失禁的效果较差，且是性交困难的常见原因。
