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Updated: Jul 13, 2026
14:05
A Murine Model of Irreversible and Reversible Unilateral Ureteric Obstruction
Published on: December 20, 2014
子宮切除術と尿失禁:体系的なレビュー
J S Brown1, G Sawaya, D H Thom
1Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, USA. brownj@obgyn.ucsf.edu
Lancet (London, England)
|August 19, 2000
まとめ
子宮切除術は,特に60歳以上の女性では,尿失禁のリスクを増やす可能性があります. カウンセリング中にこの潜在的な長期的な合併症について話し合うことは,患者の判断を明示的にするために非常に重要です.
科学分野:
- 婦人科 婦人科について
- 泌尿器科 泌尿器科とは
- 根拠に基づいた医学は,エビデンスに基づいた医療です.
背景:
- 子宮切除術は,一般的な婦人科の手術です.
- 重篤な合併症は,約1万例の子宮切除手術のうち6例で発生する.
- 尿失禁との潜在的な関連は,調査に値する.
研究 の 目的:
- 子宮切除術と尿失禁を結びつける証拠を体系的に検討する.
- 子宮切除術後の失禁症を発症するリスクを定量化するために.
主な方法:
- MEDLINE (1966-1997) の英語と非英語の記事と参考リストの体系的なレビュー.
- 子宮切除術後の失禁の発症に関するオリジナルのデータを報告した研究を含む.
- 2人の独立したレビュー者によるデータ抽象化と,ランダム効果モデルを用いたメタ分析.
主要な成果:
- 12件の研究 (8件は横断的,2件はコホート,1件は症例対照,1件はRCT) が含める基準を満たした.
- 全体として,子宮内切除は尿失禁の確率の増加と関連していました.
- 60歳以上の女性は,失禁の確率 (OR 1.6) が60%増加し,若い女性は失禁の確率が増加しなかった.
結論:
- 子宮切除術は,特に高齢の女性において,尿失禁の可能性の増加と関連しています.
- この潜在的な続編は,子宮切除に関する患者カウンセリングで議論されるべきです.
- インコンティネンスのリスクは,手術から数年後にも現れる可能性があり,長期のフォローアップディスカッションの重要性を強調しています.
関連する概念動画
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