全球约有超过2000万的人罹患尿失禁(urinary incontinence,UI)[1]。在美国约有172万人有尿失禁症状,每年尿失禁治疗的花费超过3200万美元[2]。80岁以上的人群中,女性尿失禁的发病率是男性的2～3倍[3]。20岁以上的女性人群约50%有尿失禁...全球约有超过2000万的人罹患尿失禁(urinary incontinence,UI)[1]。在美国约有172万人有尿失禁症状,每年尿失禁治疗的花费超过3200万美元[2]。80岁以上的人群中,女性尿失禁的发病率是男性的2～3倍[3]。20岁以上的女性人群约50%有尿失禁的症状,其中50%为压力性尿失禁(stress urinary incontinence,SUI),其余的为急迫性尿失禁(urge type of UI,UUI,16%)或混合性尿失禁(SUI合并UUI,34%)[4]。急迫性尿失禁是指强烈的尿急症状后立即出现的尿失禁现象,与逼尿肌过度活动(动力性尿急)展开更多
Objective: To compare outcome of the tension- free vaginal tape (TVT) procedure in women with urinary mixed and stress incontinence. Methods: A mailed questionnaire was answered by 760 of 970 women who had undergone T...Objective: To compare outcome of the tension- free vaginal tape (TVT) procedure in women with urinary mixed and stress incontinence. Methods: A mailed questionnaire was answered by 760 of 970 women who had undergone TVT surgery 2- 8 years ago (78% response rate). Seventeen women had unclassified incontinence, and 51 women who developed de novo urgency were excluded, giving 580 (83.8% ) with stress incontinence and 112 (16.2% ) women with mixed incontinence eligible for analysis. Demographic, reproductive factors, and medical history were obtained. The questionnaire included detailed questions about urinary symptoms. Analysis of outcome was done for cohorts by number of years since the operation. Results: The women with stress incontinence had a persistent cure rate of 85% from 2 to 8 years after the TVT procedure. The women with mixed incontinence had a persistent cure rate of 60% up to 4 years postoperatively, but the cure rate then steadily declined to 30% from 4 to 8 years after surgery. The increased rate of incontinence was due to urgency symptoms. Conclusion: The results of this study indicate that initial good cure rates of TVT for mixed incontinence do not persist after 4 years.展开更多
文摘全球约有超过2000万的人罹患尿失禁(urinary incontinence,UI)[1]。在美国约有172万人有尿失禁症状,每年尿失禁治疗的花费超过3200万美元[2]。80岁以上的人群中,女性尿失禁的发病率是男性的2～3倍[3]。20岁以上的女性人群约50%有尿失禁的症状,其中50%为压力性尿失禁(stress urinary incontinence,SUI),其余的为急迫性尿失禁(urge type of UI,UUI,16%)或混合性尿失禁(SUI合并UUI,34%)[4]。急迫性尿失禁是指强烈的尿急症状后立即出现的尿失禁现象,与逼尿肌过度活动(动力性尿急)
文摘Objective: To compare outcome of the tension- free vaginal tape (TVT) procedure in women with urinary mixed and stress incontinence. Methods: A mailed questionnaire was answered by 760 of 970 women who had undergone TVT surgery 2- 8 years ago (78% response rate). Seventeen women had unclassified incontinence, and 51 women who developed de novo urgency were excluded, giving 580 (83.8% ) with stress incontinence and 112 (16.2% ) women with mixed incontinence eligible for analysis. Demographic, reproductive factors, and medical history were obtained. The questionnaire included detailed questions about urinary symptoms. Analysis of outcome was done for cohorts by number of years since the operation. Results: The women with stress incontinence had a persistent cure rate of 85% from 2 to 8 years after the TVT procedure. The women with mixed incontinence had a persistent cure rate of 60% up to 4 years postoperatively, but the cure rate then steadily declined to 30% from 4 to 8 years after surgery. The increased rate of incontinence was due to urgency symptoms. Conclusion: The results of this study indicate that initial good cure rates of TVT for mixed incontinence do not persist after 4 years.
