Urodynamic Assessment of Anterior Vaginal Wall Surgery: A Randomized Comparison Between Colporraphy and Transvaginal Mesh

被引：43

作者：

Ek, Marion ^{[1
]}

Tegerstedt, Gunilla ^{[1
]}

Falconer, Christian ^{[2
]}

Kjaeldgaard, Anders ^{[3
]}

Rezapour, Masoumeh ^{[3
]}

Rudnicki, Martin ^{[4
]}

Altman, Daniel ^{[2
,5
]}

机构：

[1] Soder Sjukhuset, Dept Clin Sci & Educ, Karolinska Inst, Div Obstet & Gynaecol, S-11883 Stockholm, Sweden

[2] Danderyd Hosp, Karolinska Inst, Dept Clin Sci, Div Obstet & Gynecol, Stockholm, Sweden

[3] Karolinska Univ Hosp Huddinge, Karolinska Inst, CLINTEC, Unit Obstet & Gynecol, Stockholm, Sweden

[4] Roskilde Univ Hosp, Dept Obstet & Gynecol, Roskilde, Denmark

[5] Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden

来源：

NEUROUROLOGY AND URODYNAMICS | 2010年 / 29卷 / 04期

关键词：

pelvic organ prolapse; randomized controlled trial; surgical mesh; urodynamics; PELVIC ORGAN PROLAPSE; GENUINE STRESS-INCONTINENCE; URINARY-INCONTINENCE; CONTINENT WOMEN; REPAIR; PRESSURE;

D O I：

10.1002/nau.20811

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Aims: To investigate the urodynamic effects of anterior vaginal wall prolapse surgery using either trocar guided transvaginal mesh or colporraphy. Methods: A prospective, randomized multicenter trial enrolling 50 patients: 27 underwent anterior colporrhaphy and 23 anterior trocar guided transvaginal mesh. Urodynamic assessment was performed pre- and two months postoperatively. Results: De novo stress urinary incontinence was significantly more common after trocar guided transvaginal mesh surgery compared to colporraphy. In comparison to baseline urodynamics, transvaginal mesh surgery resulted in a significant decrease in maximal urethral closing pressures (MUCP) whereas conventional anterior colporraphy had no significant effect on urodynamic parameters. Conclusion: Trocar guided transvaginal mesh of anterior vaginal wall prolapse results in a lowering of MUCPs and increases the risk for de novo stress urinary incontinence compared to colporraphy. Neurourol. Urodynam. 29:527-531, 2010. (C) 2010 Wiley-Liss, Inc.

引用

页码：527 / 531

页数：5

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