The Outcome of Repeated Mid Urethral Sling in SUI Treatment after Vaginal Excisions of Primary Failed Sling: Preliminary Study.
The Outcome of Repeated Mid Urethral Sling in SUI Treatment after Vaginal Excisions of Primary Failed Sling: Preliminary Study.
复制标题
主要失败吊带的阴道切除后，在SUI治疗中反复的尿道吊带的结果：初步研究。
DOI：
10.1155/2016/1242061
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发表时间：
2016
影响因子：
--
通讯作者：
Barcz E
中科院分区：
文献类型：
--
作者：
Kociszewski J;Majkusiak W;Pomian A;Tomasik P;Horosz E;Kuszka A;Barcz E
中段尿道悬吊术是 SUI 治疗的标准方法。然而，再次手术的风险高达9%。对于并发症的最佳治疗方案尚未达成共识。提出了一个问题：原发性失败后患者获得最佳结果的最佳方法是什么？该研究的目的是评估复发性 SUI 患者切除吊带后重复 MUS 手术的结果。我们将其有效性与 TVT 治疗的无并发症病例进行了比较。 27 名接受重复 MUS 的患者和 50 名初次 TVT 后的连续患者参加了该研究。 6 个月后，我们发现重复吊带组的 24 名患者（88.46%）和初次吊带后的 48 名患者（96%）出现干燥（1 小时垫测试，2 g 或更少）。组间差异不显着。我们发现两组的生活质量都有统计学上的显着改善。总之，我们表明 MUS 切除后重复吊带几乎与初次 MUS 一样有效。我们假设吊带切除和重复 MUS 可能是 MUS 手术后持续性 SUI 和/或并发症的最佳选择。进一步的多中心观察正在进行中，以便提供更多病例组的结果。
Mid urethral sling is the standard in SUI treatment. Nevertheless, the risk of reoperation reaches 9%. There is no consensus as to the best treatment option for complications. A question is raised: what is the optimal way to achieve the best result in patients after primary failure? The aim of the study was to evaluate the outcomes of repeat MUS surgery in patients after excision of the sling with recurrent SUI. We compared its effectiveness with uncomplicated cases treated with TVT. 27 patients who underwent the repeated MUS and 50 consecutive patients after primary TVT were enrolled in the study. After 6 months, we have found that 24 (88.46%) patients from repeat sling group and 48 (96%) patients after primary sling were dry (1-hour pad test, 2 g or less). The difference between groups was not significant. We showed statistically significant improvement of quality of life in both groups. In conclusion, we showed that repeated sling after MUS excision is almost as effective as primary MUS. We postulate that sling excision and repeated MUS may be the best option for persistent SUI and/or complications after MUS procedures. Further multicenter observations are ongoing as to provide results on bigger group of cases.
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DOI：
10.5114/aoms.2014.42305
发表时间：
2015-10-12
期刊：
Archives of medical science : AMS
影响因子：
--
作者：
Fabian G;Kociszewski J;Kuszka A;Fabian M;Grothey S;Zwierzchowska A;Majkusiak W;Barcz E
通讯作者：
Barcz E
影响因子：
6.6
作者：
Stav, Kobi;Dwyer, Peter L.;Lee, Joseph
通讯作者：
Lee, Joseph
影响因子：
1.8
作者：
Viereck, Volker;Rautenberg, Oliver;Kociszewski, Jacek;Grothey, Susanne;Welter, JoEllen;Eberhard, Jakob
通讯作者：
Eberhard, Jakob
影响因子：
9.8
作者：
Fialkow, Michael;Symons, Rebecca Gaston;Flum, David
通讯作者：
Flum, David
影响因子：
1.8
作者：
Meyer, F.;Hermieu, J. F.;Ravery, V.
通讯作者：
Ravery, V.