Harrison S C, Brown C, O'Boyle P J
Department of Urology, Musgrove Park Hospital, Taunton.
Br J Urol. 1993 Jan;71(1):25-7. doi: 10.1111/j.1464-410x.1993.tb15874.x.
Medium-term results are presented for the periurethral injection of Teflon in the treatment of stress urinary incontinence. Follow-up data were obtained on 36 women by means of case note review and the completion of a postal questionnaire. Mean follow-up was 5.1 years. Subjective results showed 12 patients to be dry or much improved while the remaining 24 patients did not obtain significant benefit from the procedure. Repeat injections in 12 women resulted in only 3 obtaining useful improvement, while a subgroup of patients who had undergone previous procedures showed a better response. No significant complications were observed. Periurethral Teflon injection is a minor surgical procedure which can produce worthwhile improvement, although an initially good result may not be sustained with longer follow-up. This method may be advocated as treatment for poor risk patients who are unsuitable for surgery, particularly when previous attempts at formal surgical correction have been unsuccessful.
本文呈现了聚四氟乙烯尿道周围注射治疗压力性尿失禁的中期结果。通过病例记录回顾和邮寄问卷的方式，获取了36名女性的随访数据。平均随访时间为5.1年。主观结果显示，12名患者症状消失或明显改善，其余24名患者未从该手术中获得显著益处。12名女性进行了重复注射，只有3名获得了有效改善，而先前接受过手术的一组患者反应较好。未观察到明显并发症。尿道周围聚四氟乙烯注射是一种小手术，虽可能产生有价值的改善，但长期随访后最初的良好效果可能无法维持。对于不适合手术的高危患者，尤其是先前正规手术矫正尝试失败的患者，可提倡采用这种方法进行治疗。
