Giustini F G
Int Surg. 1976 Aug;61(8):406-10.
The surgical procedures used, the complications encountered and the results obtained in 549 patients with urinary stress incontinence with or without prolapse and 50 patients with prolapse without urinary stress incontinence are presented. Incontinence was cured in 347 patients, improved in 126, unchanged in 66 and worsened in ten. Seven patients operated on for uterine prolapse developed urinary incontinence after surgery. The overall recurrence of SUI was 12.75%. The introduction of suprapubic bladder drainage has practically eliminated postoperative urinary tract infections and reduced the length of hospitalization from 9.1 to 7.2 days. My experience in 214 patients with suprabpubic drainage demonstratedthe superiority of the Ansari method over the cystocath. The addition of Cantor's bladder neck plication improved the results (cured plus improved) from 80% to 100% in the Marshall-Marchetti-Krantz operation and from 81% to 86% when the Marshall-Marchetti-Krantz operation was associated with an abdominal hysterectomy.
本文介绍了549例有或无脱垂的压力性尿失禁患者以及50例无压力性尿失禁的脱垂患者所采用的手术方法、遇到的并发症及取得的结果。347例患者尿失禁治愈，126例改善，66例无变化，10例恶化。7例接受子宫脱垂手术的患者术后出现尿失禁。压力性尿失禁的总体复发率为12.75%。耻骨上膀胱引流的引入实际上消除了术后尿路感染，并将住院时间从9.1天缩短至7.2天。我对214例耻骨上引流患者的经验表明，安萨里方法优于膀胱导管法。在马歇尔-马凯蒂-克兰茨手术中，增加坎托膀胱颈折叠术可使结果（治愈加改善）从80%提高到100%，在马歇尔-马凯蒂-克兰茨手术联合腹部子宫切除术时，结果从81%提高到86%。
