Barbalias G A, Liatsikos E N, Athanasopoulos A
Department of Urology, University of Patras, School of Medicine, Greece.
Int Urogynecol J Pelvic Floor Dysfunct. 1997;8(6):344-50. doi: 10.1007/BF02765594.
The authors prospectively evaluated 24 consecutive female patients with type III stress urinary incontinence, ranging in age from 36 to 70 years (mean 55 years). All patients were operated upon and had a vesicourethral suspension by a Gore-Tex suburethral sling. All were evaluated urodynamically 6 and 30 months after surgery. In this group of patients clinical cure of incontinence was observed in 83.3% (20) and in the remaining 4 patients it was significantly improved. In 2 patients there was an erosion of the urethra and the sling had to be removed 3.5 years later. Five other women remained dry but complained of occasional irritative symptoms, and several urinary tract infections were recorded (2-3 per year), which were documented by positive urine cultures. In the remaining 17 patients no erosion was observed and no irritative symptoms were reported. The urodynamic evaluation revealed an excellent postoperative result both 6 months and 30 months after surgery.
作者前瞻性评估了24例连续的III型压力性尿失禁女性患者，年龄在36至70岁之间（平均55岁）。所有患者均接受手术，采用戈尔特斯尿道下吊带进行膀胱尿道悬吊术。术后6个月和30个月对所有患者进行了尿动力学评估。在这组患者中，83.3%（20例）实现了尿失禁的临床治愈，其余4例有显著改善。2例患者出现尿道侵蚀，3.5年后不得不取出吊带。另外5名女性保持干爽，但抱怨偶尔有刺激症状，记录到几次尿路感染（每年2 - 3次），尿培养阳性可证实。其余17例患者未观察到侵蚀，也未报告刺激症状。尿动力学评估显示术后6个月和30个月的结果均极佳。
