Dmochowski R R, Zimmern P E, Ganabathi K, Sirls L, Leach G E
Department of Urology, University of Tennessee, Memphis 38168, USA.
Urology. 1997 Jan;49(1):35-40. doi: 10.1016/S0090-4295(96)00357-3.
Women undergoing four-corner bladder neck suspension were evaluated for subjective and objective results of the procedure. Patients were evaluated for continence, prolapse, and symptomatic status postoperatively.
Forty-seven women underwent four-corner bladder neck suspension for moderate cystocele with (44) or without (3) stress urinary incontinence. Mean and median follow-up were 37 months (range 15 to 80). To assess results of the four-corner bladder neck suspension, two sets of outcome measures were used (subjective questionnaire, including patient satisfaction, and objective physical examination, with standing voiding cystourethrogram) to compare pre- and postoperative data.
At the time of follow-up, 25 patients (53%) reported no incontinence, 14 (30%) reported one incontinent episode per week, and 8 (17%) reported daily loss of urine. Twenty-seven (57%) had grade I or grade II cystoceles on follow-up examination and voiding cystourethrogram; however, only 12 (26%) experienced recurrent prolapse symptomatology. Overall patient acceptance of the procedure was high (70%).
The four-corner bladder neck suspension is an effective option in the management of moderate cystocele.
对接受四角膀胱颈悬吊术的女性进行该手术主观和客观结果的评估。对患者术后的控尿、脱垂及症状状况进行评估。
47例女性因中度膀胱膨出伴（44例）或不伴（3例）压力性尿失禁接受四角膀胱颈悬吊术。平均及中位随访时间为37个月（范围15至80个月）。为评估四角膀胱颈悬吊术的结果，使用两组结果测量指标（主观问卷，包括患者满意度，以及客观体格检查，采用站立位排尿膀胱尿道造影）来比较术前和术后数据。
随访时，25例患者（53%）报告无尿失禁，14例（30%）报告每周有一次尿失禁发作，8例（17%）报告每日有尿液丢失。随访检查及排尿膀胱尿道造影显示，27例（57%）有I级或II级膀胱膨出；然而，只有12例（26%）出现复发性脱垂症状。患者对该手术的总体接受度较高（70%）。
四角膀胱颈悬吊术是治疗中度膀胱膨出的一种有效选择。
