压力性尿失禁(stress incontinence)

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压力性尿失禁(stress incontinence)介绍 压力性尿失禁(stress incontinence)症状 压力性尿失禁(stress incontinence)治疗

Among the 103 women suffering from stress incontinence, 60 were assigned to Composix, 28 to TVT, and 15 to TVT-O. Only patients presenting a complete set of data were included in the analysis. Preoperative workups included medical history, clinical examination, a 24-hour pad test, FPSUND (symptom score), satisfaction and impact incontinence quality of life (I-QOL) questionnaires.

Objective changes in SUI were the primary end point; whereas other outcome variables such as symptoms, quality of life questionnaires and satisfaction scale were our secondary end points. Clinical check ups were conducted at three months, every six months for two years and then annually up to five years. The objective result was considered successful when the absolute value of incontinence after treatment was ?2 g per 24 hours.

Results showed that the median follow up of the cohort was 24 months. The median I-QOL scores for the Composix, TVT and TVT-O prior to surgery were 57, 55, 49 respectively, and 106, 106, 109 at 24 months. Similarly, the FPSUND scores were initially 12, 11, 12 and 4, 1, 2 at follow-up, whereas the 11 point-scale satisfaction score improved from two to nine for all groups. The median pad weight was 26g, 66g and 20 g prior to surgery; only four patients had persistent urinary stress incontinence following surgery.

The authors said their study did not detect a significant difference between the Composix, TVT and TVT-O slings for the cure of female stress incontinence at a mean follow-up of 24 months.

"The effect of all these procedures on cure of incontinence and improvement in quality of life is maintained over at least two years. The Composix sling was significantly cheaper but the product is no longer available," they added.

压力性尿失禁(stress incontinence)推荐专家

  • [郁超]
  • 上海龙华医院 泌尿外科
  • 擅长:运用中医、中西医结合方法治疗各类泌尿系统结石、泌尿生殖系统肿瘤以及前列腺炎、前列腺增生等前列腺疾病;不育、遗精、阳痿早泄等各类性功能障碍

压力性尿失禁(stress incontinence)症状