The use of the pessary test in preoperative assessment of women with severe genital prolapse

被引：21

作者：

Liapis, A. ^{[1
]}

Bakas, P. ^{[1
]}

Georgantopoulou, C. ^{[2
,3
]}

Creatsas, G. ^{[1
]}

机构：

[1] Univ Athens, Aretaie Hosp, Dept Obstet & Gynecol 2, GR-10679 Athens, Greece

[2] Univ Athens, Evgenide Hosp, Obstet & Gynaecol Unit, GR-10679 Athens, Greece

[3] Univ Athens, Evgenide Hosp, Res Ctr, GR-10679 Athens, Greece

来源：

EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY | 2011年 / 155卷 / 01期

关键词：

Occult; Pessary test; Stress incontinence; TVTO; Urogenital prolapse; STRESS URINARY-INCONTINENCE; PELVIC ORGAN PROLAPSE; CONTINENT WOMEN; REPAIR; STANDARDIZATION; TERMINOLOGY; SURGERY;

D O I：

10.1016/j.ejogrb.2010.12.007

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Objective: To investigate whether a preoperative pessary test could be used to identify patients with occult stress incontinence and if simultaneous anti-incontinence surgery with a midurethral sling could prevent postoperative incontinence. Study design: Eighty-two patients with a positive pessary test and severe genital prolapse participated in the study: 43 patients underwent prolapse surgery and transobturator tension-free vaginal tape (TVT-O) insertion and 39 patients underwent prolapse surgery only. Results: The objective cure rate for TVT-O and prolapse surgery was 90.7% at three months follow up and 88.4% at two years follow up. The objective cure rate for prolapse surgery only was 74.4% at three months and 58.9% at two years follow up. Conclusion: The pessary test can be used preoperatively in patients with significant genitourinary prolapse to identify those with occult stress urinary incontinence. The TVT-O procedure in this context could be a useful optional procedure as it appears to be very effective and safe in patients with occult stress incontinence. (C) 2010 Elsevier Ireland Ltd. All rights reserved.

引用

页码：110 / 113

页数：4

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