Lose G, Kulseng-Hanssen S, Nilsson C G
Department of Obstetrics and Gynecology, Glostrup County Hospital, University of Copenhagen, Denmark.
Acta Obstet Gynecol Scand Suppl. 1998;168:25-8.
To elucidate aspects of the actual practice of surgical management of urinary incontinence in Norway and Finland.
A questionnaire about preoperative diagnostic procedures, type of surgery, follow-up procedure and number of operations per center and per surgeon per year (1995) was sent to all departments of Gynecology and Obstetrics in Norway and Finland.
Thirty-one (86%) of the Norwegian and 26 (90%) of the Finnish departments returned the questionnaire. More than 90% of the departments performed preoperative urodynamic evaluation. Burch colposuspension was used by more than 90% of the departments in the two countries. Generally the number of procedures per center and per department was low. Twenty-nine and 12% of the departments respectively did not perform any follow-up after surgery. Only 16% of the Norwegian and 23% of the Finnish centers had controlled results of surgery.
There seems to be a need for criteria of good clinical practice or a reference program for all steps of surgical management of stress incontinence in order to stimulate the process of quality development of this treatment.
阐明挪威和芬兰尿失禁手术治疗实际操作的相关情况。
向挪威和芬兰的所有妇产科科室发送了一份关于术前诊断程序、手术类型、随访程序以及每个中心和每位外科医生每年手术数量（1995年）的调查问卷。
挪威31个科室（86%）和芬兰26个科室（90%）回复了问卷。超过90%的科室进行了术前尿动力学评估。两国超过90%的科室采用了Burch阴道悬吊术。总体而言，每个中心和每个科室的手术数量较少。分别有29%和12%的科室术后未进行任何随访。只有16%的挪威中心和23%的芬兰中心取得了可控的手术效果。
似乎需要制定良好临床实践标准或压力性尿失禁手术治疗所有步骤的参考方案，以推动该治疗质量提升进程。
