Alonso-Sosa J E, Cruz-Estrada A R, Pérez-Bojorquez D M, Dávila-Velazquez J
Departamento de Ginecología, Hospital de Gineco-pediatría del Centro Médico Nacional El Fénix, Instituto Mexicano del Seguro Social, Mérida, Yuc.
Ginecol Obstet Mex. 1996 May;64:227-9.
Fifty patients with diagnoses of pelvic floor relaxation or stress urinary incontinence were randomly allocated to either transurethral closed, or transurethral open bladder drainage after vaginal surgery for pelvic floor relaxation or stress urinary incontinence. Postoperative normal bladder function resumed more rapidly when transurethral closed drainage was used (P < 0.05). Postoperative use transurethral closed bladder drainage significantly reduced urinary tract infection (P < 0.05), so most of the patients didn't need bladder catheterization at time of discharge, as opposed to more than half those with transurethral open drainage, who left the hospital with a catheter in place (P < 0.05). We that is both beneficial and efficient to use transurethral closed bladder drainage than transurethral open bladder drainage after a pelvic floor relaxation or stress urinary incontinence surgery.
50例诊断为盆底松弛或压力性尿失禁的患者在接受盆底松弛或压力性尿失禁阴道手术后，被随机分配接受经尿道闭式或经尿道开放式膀胱引流。使用经尿道闭式引流时，术后正常膀胱功能恢复更快（P<0.05）。术后使用经尿道闭式膀胱引流显著降低了尿路感染（P<0.05），因此大多数患者在出院时无需留置膀胱导管，而经尿道开放式引流的患者中有超过一半出院时仍留置导管（P<0.05）。我们认为，在盆底松弛或压力性尿失禁手术后，使用经尿道闭式膀胱引流比经尿道开放式膀胱引流更有益且高效。
