Xerri A
J Urol Nephrol (Paris). 1977 Jan-Feb;83(1-2):49-54.
Thirty patients suffering from stress incontinence of urine following hysterectomy or operation for genital prolapse underwent operation after study of the colpocystogram. This examination, practically painless and free of risk, visualises pelvic visceral kinetics and is felt by the author to be essential. It confirms the existence of stress incontinence, reveals the usual cause, detects associated abnormalities and indicates the appropriate surgical technique. The method of treatment was paramedial or medial fixation of the uterus, vagina or residual cervix to the public promontory, complemented in some cases by excision of the pouch of Douglas or posterior myorraphy. Apart from in certain special cases (irritable tirgone syndrome) the cure of mictional problems can be guaranteed.
30例子宫切除术后或因生殖器脱垂手术导致压力性尿失禁的患者在进行阴道膀胱造影检查后接受了手术。这项检查几乎无痛且无风险，能显示盆腔脏器的动力学情况，作者认为它至关重要。它能证实压力性尿失禁的存在，揭示常见病因，检测相关异常并指明合适的手术技术。治疗方法是将子宫、阴道或残余宫颈向耻骨岬进行旁正中或正中固定，部分病例辅以Douglas窝切除术或后壁肌层缝合术。除某些特殊情况（易激惹三角区综合征）外，排尿问题可得到治愈。
