Videourodynamic evaluation of urge syndrome following pubovaginal sling procedure for stress urinary incontinence in women.

International urogynecology journal and pelvic floor dysfunction Pub Date : 2009-10-01 Epub Date: 2009-06-04 DOI:10.1007/s00192-009-0922-x

Fei-Chi Chuang, Hann-Chorng Kuo

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引用次数: 2

Abstract

Introduction and hypothesis: The purpose of this study is to evaluate women with urge syndrome following pubovaginal sling procedure for stress urinary incontinence using a polypropylene mesh.

Methods: A total of 292 cases were available to compare preoperative and postoperative videourodynamic parameters.

Results: There were 142 women (48.6%) with urge syndrome before operation and 92 (31.5%) with urge syndrome after pubovaginal sling procedure. Urge syndrome was persistent in 79 women, resolved in 63, and de novo urge syndrome was noted in 13. Urodynamic detrusor overactivity (DO) was present in 67 (22.9%) women before operation and in 47 (16.1%) after operation. DO was persistent in 29, resolved in 38, and de novo DO in 18 after operation. Among the 18 women with de novo DO, 15 (83.3%) had preoperative urge syndrome.

Conclusions: Of patients with urge syndrome after pubovaginal sling procedure, 85.9% had a chronic condition, and 83.3% of patients with de novo DO had preoperative urge syndrome.

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女性压力性尿失禁阴阴道悬吊手术后冲动综合征的视频尿动力学评价。

前言和假设:本研究的目的是评估女性在阴部阴道悬吊手术后使用聚丙烯网片治疗压力性尿失禁的紧迫性综合征。方法:对292例患者术前、术后视频尿动力学参数进行比较。结果:术前出现急症142例(48.6%)，术后出现急症92例(31.5%)。79名妇女持续存在急症综合征，63名妇女消失，13名妇女出现新发急症综合征。术前有67例(22.9%)出现尿动力逼尿肌过度活动(DO)，术后有47例(16.1%)。术后持续DO 29例，消退38例，重新发生DO 18例。18例新发DO患者中有15例(83.3%)存在术前冲动综合征。结论:耻骨阴道悬吊术后出现急迫综合征的患者中，85.9%为慢性急迫综合征，83.3%的新发DO患者术前出现急迫综合征。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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International urogynecology journal and pelvic floor dysfunction

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