既往有泌尿妇科手术史妇女无张力阴道吊带(TVT)的效果与生活质量:荷兰TVT数据库的分析

来源 :世界核心医学期刊文摘(妇产科学分册) | 被引量 : 0次 | 上传用户:jingcheng0417
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Objective:Long-term outcome of tension-free vaginal tape (TVT) in women with a history of surgery for urinary incontinence and/or prolapse. Study design:Prospective cohort study of 809 women. Twenty-eight teaching and 13 local hospitals,54 gynecologists and urologists performed the TVTs. The Incontinence Impact Questionnaire (IIQ-7) and Urogenital Distress Inventory (UDI-6) were used to measure the results of the TVT procedure (preoperative at 2,6,12,24,and 36 months postoperative). According the recommendation of the International Continence Society,the question “Do you experience urinary leakage during physical activity,coughing or sneezing?”was selected from the UDI to assess stress urinary incontinence. Results:The decrease in IIQ/UDI mean scores was statistically significant. The UDI scores of women with a history of previous prolapse and/or incontinence surgery were not statistically different to the scores for primary cases after 3 years follow-up (P = .193). Conclusion:TVT is effective for women with recurrent stress urinary incontinence and/or previous prolapse surgery. Objective: Long-term outcome of tension-free vaginal tape (TVT) in women with a history of surgery for urinary incontinence and / or prolapse. Study design: Prospective cohort study of 809 women. Twenty-eight teaching and 13 local hospitals, 54 gynecologists and urologists performed the TVTs. The Incontinence Impact Questionnaire (IIQ-7) and Urogenital Distress Inventory (UDI-6) were used to measure the results of the TVT procedure (preoperative at 2,6,12,24, and 36 months postoperative According to the recommendation of the International Continence Society, the question “Do you experience urinary leakage during physical activity, coughing or sneezing?” Was selected from the UDI to assess stress urinary incontinence. Results: The decrease in IIQ / UDI mean scores was statistically significant. The UDI scores of women with a history of previous prolapse and / or incontinence surgery were not statistically different to the scores for primary cases after 3 years follow-up (P = .193). Conclusion: TVT is effective for women with recurrent stress urinary incontinence and / or previous prolapse surgery.
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