在中泌尿器吊链手术8年后的持续性或反复性尿失禁:回顾性队列研究
Bianca B Mengerink1,2, Emma E Pluymen3, Sanne A L van Leijsen4
1Department of Obstetrics & Gynecology, Bernhoven Hospital, Nistelrodeseweg 10, 5406 PT, UDEN, The Netherlands. b.mengerink@bernhoven.nl.
International urogynecology journal
|July 7, 2025
概括
近四分之一的妇女经历持续或反复的压力尿失禁 (SUI) 八年后,中尿道吊带 (MUS) 手术. 许多患有SUI症状的人没有接受进一步治疗,重复手术的几率很低.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 女性的盆腔医学
- 重建性手术是一种重建性手术.
背景情况:
- 中尿道吊带 (MUS) 手术是女性应激性尿失禁 (SUI) 的常见治疗方法.
- 然而,可能会出现治疗失败,导致手术后持续或复发性SUI.
- 长期结果和后续治疗的有效性对于患者管理至关重要.
研究的目的:
- 为了确定MUS手术8年后持续性或复发性SUI的患病率.
- 描述持续或复发性SUI的妇女接受的额外治疗的类型.
- 为了评估这些额外治疗的有效性.
主要方法:
- 追溯性队列研究,分析随机对照试验 (VUSIS-2研究) 中女性的病历.
- 通过12家医院的医疗档案审查收集的后续数据.
- 包括手术后症状,诊断和尿失禁治疗方法的分析.
主要成果:
- 在301个分析的档案中 (52.1%的参与者),在7.8年的中位数随访后,23.6%的人报告了尿失禁症状.
- 在12.6%的患者中报告了压力尿失禁 (SUI) (持久6.0%,复发6.6%).
- 紧急尿失禁影响16.9%,59.2%的失禁病例接受了额外的治疗,包括5.6%的重复手术.
结论:
- 近四分之一的女性经历了手术后尿失禁症状,在SUI的MUS手术后八年.
- 这些妇女中很大一部分没有接受进一步的治疗.
- 在初始MUS后,SUI重复手术的患病率相对较低.
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