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中尿道网的长期存活对于有压力尿失禁的妇女而言
Margaux Laude1, Imad Bentellis2, Roxane Fabre3,4
1Department of Gynecology and Obstetrics, University Hospital Saint-Etienne, France.
European urology open science
|December 24, 2025
概括
长期数据显示,压力性尿失禁 (SUI) 中尿道吊带 (MUS) 移除率较低,仅有2.7%需要在10年后进行移除. 这些信息有助于患者在SUI治疗决策.
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
- 手术创新 在外科创新.
背景情况:
- 由于相关的争议,压力尿失禁 (SUI) 中尿道吊带 (MUS) 程序的使用率有所下降.
- 有限证据表明,MUS重复手术和切除的长期患病率有限.
- 了解长期结果对于知情的患者咨询和临床决策至关重要.
研究的目的:
- 调查女性中MUS移除和重新手术的长期率.
- 分析影响MUS移除和重新操作的因素.
- 提供支持SUI管理患者咨询的数据.
主要方法:
- 在法国进行了一项全国性回顾性队列研究,包括所有18岁或以上的女性患者,他们在2013年1月1日至2022年9月30日期间接受了首次MUS插入SUI.
- 患者随访延长至2023年1月1日.
- 主要结局是MUS移除率;次要结局包括新的MUS插入和其他SUI手术. 考克斯回归模型确定了与MUS移除相关的因素.
主要成果:
- 这项研究分析了217,326名第一次进行MUS插入的女性.
- 10年后的MUS整体去除率为2.7%.
- 10年后,4.5%接受了新的MUS插入,2.8%接受了其他SUI手术. 酒精消费,吸烟和肥胖等因素与重新手术有关.
结论:
- 对SUI的长期MUS移除率相对较低,在10年后的2.7%率.
- 转闭器插入与回体插入相比,与更少的移除有关.
- 这些研究结果支持对SUI治疗选择和长期期望的知情患者咨询.
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