Rodríguez-Colorado S, Pérez-Soriano P, Alvarez-Mercado R L, Herbert A, Kunhardt-Rasch J
Instituto Nacional de Perinatología, Clínica de Urología Ginecológica y Trastomos de la Estática Pelvigenital.
Ginecol Obstet Mex. 1996 Jun;64:251-5.
An evaluation of the surgical treatment for stress and mixed urinary incontinence and pelvic relaxation. One-year follow-up, was done. A retrospective study with 144 files from the surgeries performed between February 1993 and June 1994, at the Clínica de Urología Ginecológica del Instituto Nacional de Perinatología. We excluded 37 files because of incomplete information. The age, parity, hormonal stage, preoperative diagnosis by urodynamic studies, surgical treatments and one-year follow-up were analyzed. The mean age was 45.5 years. Pereyra procedure was performed in 53, Burch procedure in 47, anterior colporrhaphy in 5, and sling procedure in 2 patients. The incidence of complications was similar between the different groups. Resumption of spontaneous postsurgical voiding was delayed in the Pereyra group. The Burch urethropexy and Pereyra procedures were equally effective, with no statistical differences observed. Burch vaginal suspension was not more effective for the correction of urinary stress incontinence than Pereyra procedure.
对压力性和混合性尿失禁及盆腔松弛的手术治疗进行了评估。进行了为期一年的随访。这是一项回顾性研究，研究对象为1993年2月至1994年6月在国家围产医学研究所妇科泌尿科进行的144例手术病例。由于信息不完整，我们排除了37例病例。分析了患者的年龄、产次、激素状态、术前尿动力学研究诊断、手术治疗及一年随访情况。平均年龄为45.5岁。53例患者接受了佩雷拉手术，47例接受了伯奇手术，5例接受了阴道前壁修补术，2例接受了吊带手术。不同组之间并发症的发生率相似。佩雷拉组术后自主排尿恢复延迟。伯奇尿道悬吊术和佩雷拉手术同样有效，未观察到统计学差异。伯奇阴道悬吊术在纠正压力性尿失禁方面并不比佩雷拉手术更有效。
