应激性尿失禁的逆带手术:女性可以在不清除功能障碍的情况下治愈吗?
C Plassais1, F Cour2, A Vidart2
1Department of Urology, Foch Hospital, 40, rue Worth, 92150, Suresnes, France. caroline.plassais@hotmail.fr.
World journal of urology
|July 20, 2023
概括
对于压力尿失禁,无张力阴道带手术的治愈率为93%. 这种技术显示出排泄功能障碍的发病率很低,使其成为安全有效的手术选择.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇科 妇科 妇科 妇科
- 骨盆地板手术 骨盆地板手术
背景情况:
- 逆流体无张力阴道带 (RP-TVT) 是女性压力尿失禁的标准手术治疗方法.
- RP-TVT与术后排泄功能障碍 (VD) 的风险有关.
- 开发了一种新的,可重复的,完全没有张力的带程序,以减轻风险.
研究的目的:
- 评估一种新的无张力RP-TVT技术的有效性.
- 为了比较新技术和标准RP-TVT之间的排空功能障碍 (VD) 的发生率.
- 在手术后一年评估主观治愈率和静脉疾病.
主要方法:
- 在2011年至2019年期间接受RP-TVT的患者的回顾性评估.
- 在手术后一年评估主观治愈和静脉疾病.
- 由最大尿流速 (Qmax) <15毫升/秒,空虚后残留 (PVR) 容量>150毫升,或需要为不活性膀 (UB) 进行磁带修改而定义的VD.
主要成果:
- 一年后观察到93%的主观治愈率.
- 10.9%的患者在一年内出现了静脉疾病.
- 膀活动不足 (UB),手术前Qmax<15毫升/秒,以及之前的失禁手术是风脉疾病的显著预测因素.
结论:
- 无需手术内收紧的RP-TVT技术是安全有效的.
- 这种方法可以实现压力尿失禁的高治愈率.
- 这种技术的膀出口阻塞和相关的静脉疾病的发生率很低.
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