Dellas A, Drewe J
Department of Obstetrics and Gynaecology, University of Basle, Switzerland.
Eur J Obstet Gynecol Reprod Biol. 1995 Oct;62(2):213-5. doi: 10.1016/0301-2115(95)02158-4.
The objective was to analyse urodynamic data before and after conservative treatment with vaginal cones.
The design was an open clinical study and was carried out at the Urogynaecology Unit of the University women's hospital. Eighteen women with genuine urinary stress incontinence were treated with vaginal cones for 6 weeks. Cystometry was performed before and after conservative therapy. The patients' subjective improvement and the urodynamic data have been compared. The Mann-Whitney U-test was used for statistical analysis.
Of eighteen women with cone therapy, eight were continent after 6 weeks and showed a significant increase of the dynamic urethral closure pressure. Seven patients reported a subjective improvement, and in three women no change of stress incontinence was observed Colposuspension was performed at a later date in these three cases.
Vaginal cone therapy is a successful method to cure mild female stress incontinence and has the advantage of avoiding incontinence operation. Therapeutic success can be assessed by urodynamic evaluation.
目的是分析使用阴道圆锥进行保守治疗前后的尿动力学数据。
该设计为开放性临床研究，在大学女子医院的泌尿妇科病房进行。18名真性压力性尿失禁女性患者接受了6周的阴道圆锥治疗。在保守治疗前后进行膀胱测压。比较了患者的主观改善情况和尿动力学数据。采用曼-惠特尼U检验进行统计分析。
在接受圆锥治疗的18名女性中，8名在6周后不再失禁，且动态尿道闭合压显著增加。7名患者报告有主观改善，3名女性压力性尿失禁无变化，这3例患者随后进行了阴道悬吊术。
阴道圆锥治疗是治疗轻度女性压力性尿失禁的成功方法，具有避免失禁手术的优点。治疗成功与否可通过尿动力学评估来判断。
