Reoperation for urinary incontinence
Reoperation for urinary incontinence
复制标题
DOI：
10.1016/j.ajog.2008.04.047
复制
发表时间：
2008-11-01
影响因子：
9.8
通讯作者：
Flum, David
中科院分区：
文献类型：
--
作者：
Fialkow, Michael;Symons, Rebecca Gaston;Flum, David
目的(S)：本研究的目的是描述尿失禁患者的再手术率及其相关因素。研究设计：使用华盛顿州1987年至2005年住院患者尿失禁手术的队列研究。对整个队列和手术过程的累积再手术率进行了评估。结果：共有41,705名女性接受了吊带术或耻骨后悬吊术(Burch)；1895名女性因尿失禁再次手术(8.6%；95%可信区间，7.8-9.5%)，每1000名女性年再手术的比率为5.5%。接受Burch手术的女性的再手术率低于接受吊带术的女性(每1000名女性年再手术率为4.2比6.7；P=.001)。合并子宫切除的Burch和吊带修补术的再手术率较低(每1000妇女年分别为5.4~2.9和7.7~4.2)。结论：尿失禁再手术在一般人群中较常见。考虑到目前吊索使用量增加的趋势，应进一步研究观察到的可变再手术率。
OBJECTIVE(S): The objective of the study was to describe the rate and associated factors of reoperation for urinary incontinence.STUDY DESIGN: A cohort study using Washington state hospitalization records from 1987 to 2005 of inpatient urinary incontinence surgeries. The cumulative reoperation rate was estimated for the entire cohort and by procedure. Cox regression was used to estimate the hazard of reoperation.RESULTS: A total of 41,705 women underwent either a sling or retropubic colposuspension (Burch); 1895 underwent reoperation for urinary incontinence (8.6%; 95% confidence interval, 7.8-9.5%), a rate of 5.5 per 1000 woman-years. Women undergoing Burch had a lower reoperation rate than those undergoing slings (4.2 vs 6.7 per 1000 woman-years; P = .001). Concomitant hysterectomy was associated with a lower reoperation rate for Burch and sling repairs (5.4-2.9 and 7.7-4.2 per 1000 woman-years).CONCLUSION(S): Reoperation for urinary incontinence occurs commonly in the general population. The variable reoperation rate observed should be further investigated, given current trends toward increased Sling use.