Cummings J M
Division of Urology, University of South Alabama, Mobile 36617-2293, USA.
Int Urogynecol J Pelvic Floor Dysfunct. 1997;8(3):153-5. doi: 10.1007/BF02764848.
Patient selection is critical to achieving good results in the surgical management of stress urinary incontinence. The evaluation of urethral function in these women is of great importance, since the choice of operative technique often depends on the ability of the urethra to generate adequate resistance to the expulsive forces of increased abdominal pressure. The Valsalva leakpoint pressure (VLPP) has been described as an easily performed, reproducible and accurate urodynamic test to assess the patient for the presence of intrinsic sphincter deficiency (ISD). Critical review of the VLPP demonstrates its reproducibility and correlation with other measures of ISD. However, more work needs to be done to identify the truly critical values of VLPP that would help in selecting the most appropriate procedure in surgery for stress incontinence.
患者选择对于压力性尿失禁手术治疗取得良好效果至关重要。评估这些女性的尿道功能非常重要，因为手术技术的选择通常取决于尿道对增加的腹压产生足够阻力的能力。Valsalva漏点压（VLPP）已被描述为一种易于实施、可重复且准确的尿动力学检查，用于评估患者是否存在内在括约肌缺陷（ISD）。对VLPP的严格审查证明了其可重复性以及与ISD其他测量指标的相关性。然而，还需要做更多工作来确定VLPP的真正临界值，这将有助于选择压力性尿失禁手术中最合适的手术方法。
