Giacalone P L, Laffargue F, Daures J P, Lombard I
Hôpital Arnaud de Villeneuve, Montpellier, France.
Int Urogynecol J Pelvic Floor Dysfunct. 1998;9(6):370-8. doi: 10.1007/BF02199567.
The object was to study retrospectively the perioperative complications and results of the Bologna procedure for the treatment of stress urinary incontinence associated with cystocele grade 2 or more. In the study, 80 patients underwent a repair of all defects of pelvic support plus the Bologna procedure. Mean duration of follow-up was 40.2 months (range 3-127). The incidence of operative complications was 2.5% for inadvertent cystostomy and for hemorrhage. Mean hospital stay was 7.2 days (range 2-17). At 2-year follow-up 85% of the patients were completely free of incontinence symptoms (95% CI: 75-92) and 76% at 3-year follow-up (95% CI: 66-86). None of the parameters tested in a univariate analysis was independently linked with surgical failure. Further studies are needed to establish the place of this technique in the surgical management of urinary incontinence associated with genital prolapse.
目的是回顾性研究用于治疗2级及以上膀胱膨出相关压力性尿失禁的博洛尼亚手术的围手术期并发症及结果。在该研究中，80例患者接受了盆腔支持结构所有缺损的修复及博洛尼亚手术。平均随访时间为40.2个月（范围3 - 127个月）。手术并发症的发生率，膀胱造口术失误和出血均为2.5%。平均住院时间为7.2天（范围2 - 17天）。在2年随访时，85%的患者完全没有失禁症状（95%可信区间：75 - 92），在3年随访时为76%（95%可信区间：66 - 86）。单因素分析中测试的所有参数均未独立与手术失败相关。需要进一步研究以确定该技术在生殖器脱垂相关尿失禁手术治疗中的地位。
