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Management of Urinary Incontinence before and after Total Pelvic Reconstruction for Advanced Pelvic Organ Prolapse with and without Incontinence 期刊论文

编号：

b611ad95-d8fe-4f45-87ff-0d7772320150
作者：

Song, Yu^[1,2];Wang, XiaoJuan^[2,3];Chen, YiSong(陈义松)^[2,3]Hua, KeQin^[2,3];
语种：

English
期刊：

CHINESE MEDICAL JOURNAL ISSN：0366-6999 2018 年 131 卷 5 期 (553 - 558) ; MAR 5
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关键词：

Pelvic Organ Prolapse Recurrence Urinary Incontinence
摘要：

Background: The effectiveness of an anti-incontinence procedure concomitant with prolapse reconstruction for pelvic organ prolapse (POP) in preventing urinary incontinence (UI) after surgery remains controversial. Our study aimed to describe the incidence of pre- and postoperative UI for pelvic reconstructive surgery and evaluate the management of POP associated with UI. Methods: A total of 329 patients who underwent total pelvic reconstruction between June 2009 and February 2015 at a single institution were identified. These patients were divided into two groups (Group A [Prolift reconstruction]: n = 190 and Group B [modified total pelvic reconstruction]: n = 139). Data regarding surgical procedures and patient demographic variables were recorded. Chi-square and Student's t-tests were used for two independent samples. Results: A total of 115 patients presented with UI preoperatively. The average follow-up time was 46.5 months, with 20 patients lost to follow-up (6.1%). The cure rates of stress UI (SUI), urgency UI (UUI), and mixed UI (MUI) were 51% (30/59), 80% (16/20), and 48% (14/29), respectively. The cure rate of UUI after total pelvic reconstruction (80% [16/20]) was higher than that of SUI (50.8% [30/59], chi(2) = 5.219, P = 0.03), and the cure rate of MUI (48%, 14/29) was the lowest. The cure rate of patients with UI symptoms postoperatively was lower than that of those with symptoms preoperatively (9.1% [28/309] vs. 16.2% [50/309], chi(2) = 7.101, P = 0.01). There was no difference in the incidence of UI postoperatively between Groups A and B (P 0.05). The cure rate of SUI in patients undergoing tension-free vaginal tape-obturator was not higher than that in those who did not undergo the procedure (42.9% [6/14] vs. 53.3% [24/45], chi(2) = 0.469, P = 0.49). There were no differences in the cure rate for POP or UI between these two types of reconstructions (P > 0.05). Conclusions: No correlation between the incidence of UI and POP was identified. The results suggest that UI treatment should be performed after POP surgery for patients with both conditions.
推荐引用方式
GB/T 7714：

Song Yu,Wang Xiao-Juan,Chen Yi-Song, et al. Management of Urinary Incontinence before and after Total Pelvic Reconstruction for Advanced Pelvic Organ Prolapse with and without Incontinence [J].CHINESE MEDICAL JOURNAL,2018,131(5):553-558.
APA：

Song Yu,Wang Xiao-Juan,Chen Yi-Song,Hua Ke-Qin.(2018).Management of Urinary Incontinence before and after Total Pelvic Reconstruction for Advanced Pelvic Organ Prolapse with and without Incontinence .CHINESE MEDICAL JOURNAL,131(5):553-558.
MLA：

Song Yu, et al. "Management of Urinary Incontinence before and after Total Pelvic Reconstruction for Advanced Pelvic Organ Prolapse with and without Incontinence" .CHINESE MEDICAL JOURNAL 131,5(2018):553-558.

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