Ten-year follow-up after conservative treatment of stress urinary incontinence

Ten-year follow-up after conservative treatment of stress urinary incontinence
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DOI:
10.1007/s00192-007-0550-2
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发表时间:
2008-07-01
影响因子:
1.8
通讯作者:
Tanbo, Tom G.
Tanbo, Tom G.
中科院分区:
医学3区
文献类型:
--
作者:
Schiotz, Hjalmar A.;Karlsen, Jorn-Hugo;Tanbo, Tom G.

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在33名女性参与了一项关于压力性尿失禁保守治疗的研究后,对她们进行了10年的随访研究。评估包括一次24小时的PAD测试,一次简短的压力测试,以及两份有效的生活质量问卷。目前,5名女性(15%)仍在进行每周至少两次的盆底肌肉训练。在此期间,15名(47%)女性接受了压力性尿失禁手术,其中12名(80%)为可控性尿失禁患者。在18名未做手术的妇女中,只有一人(6%)是可控性的。这一差异在统计学上非常显著(p<0.0001)。总而言之,在压力性尿失禁保守治疗10年后,85%的女性已经停止了保守治疗,而那些没有手术的女性中有94%仍然失禁。在接受间歇性大小便失禁手术的患者中,更多的人现在处于可控性状态。
A follow-up study was done in 33 women 10 years after they had participated in a study on conservative treatment of stress urinary incontinence. The evaluation included a 24-h pad test, a short stress test, and two validated quality of life questionnaires. Currently, five women (15%) were still doing pelvic floor muscle training at least twice per week. During the interim, 15 (47%) women had undergone stress incontinence surgery, and 12 (80%) of these were continent. Among the 18 non-operated women, only one (6%) was continent. The difference is statistically highly significant (p < 0.0001). In conclusion, 10 years after conservative treatment of stress incontinence, 85% of the women had stopped conservative treatment, and 94% of those not operated were still incontinent. Significantly more of those who had undergone interval incontinence surgery were now continent.