机构：[1]Department of Urology, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, China外科科室泌尿外科昆明医科大学附属第一医院泌尿外一科泌尿外科外科科室[2]Yunnan Province Clinical Research Center for Chronic Kidney Disease, Kunming 650032, China
Background and Objectives: The purpose of this study was to compare the complications, success rate and satisfaction of pelvic floor reconstruction after transobturator midurethral sling (TOT) and TOT combined with pelvic floor reconstruction in the treatment of female stress urinary incontinence. To explore the pathogenesis of stress urinary incontinence after pelvic floor stress injury and improve the surgical treatment strategy. Materials and Methods: From 15 August 2018 to 24 February 2022, patients diagnosed with stress urinary incontinence (SUI) and secondary prolapse of the anterior pelvis were selected to receive surgically. Participants were followed up and evaluated at 2 months, 6 months and 1 year after treatment. According to the patient's chief complaint, the patient can urinate automatically without incontinence. The number of urinary incontinence and urine leakage was significantly reduced compared with those before operation. Urinary incontinence symptoms did not improve or worsen as ineffective, observing the efficacy and complications. Results: We included 191 patients in the TOT group and 151 patients in the pelvic floor reconstruction group after TOT was combined. The operation time and hospital stay in the TOT group were short, but the TOT group needed a second operation to treat recurrent SUI. Perioperative complications were mostly dysuria, and the incidence of postoperative complications in the group of TOT combined with pelvic floor reconstruction was low. The complete success rate and effective rate of pelvic floor reconstruction after TOT in the merger group were significantly higher than those in the TOT group, and the patient satisfaction and complete success rate were also higher. Conclusions: TOT combined with posterior pelvic floor reconstruction has a definite short-term effect on patients with SUI and anterior pelvic secondary prolapse. The operation design should pay attention to the support of the posterior wall of the perineum to the bladder neck and the middle and proximal end of the urethra.
基金：
This study was supported by the National Natural Science Foundation of China (Grant
No. 82260297); the Yunnan University Women Pelvic Floor Dysfunction Research and Application of
Science and Technology Innovation Team (Grant No. K1322112); and the Special Project of Yunnan
Chronic Kidney Disease Clinical Medical Research Center (Grant No. 202102AA100060).
第一作者机构：[1]Department of Urology, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, China
通讯作者：
通讯机构：[1]Department of Urology, The First Affiliated Hospital of Kunming Medical University, Kunming 650032, China[2]Yunnan Province Clinical Research Center for Chronic Kidney Disease, Kunming 650032, China
推荐引用方式(GB/T 7714)：
Tian Daoming,Gao Zhenhua,Zhou Hang,et al.A Comparative Study on the Clinical Efficacy of Simple Transobturator Midurethal Sling and Posterior Pelvic Floor Reconstruction[J].MEDICINA-LITHUANIA.2023,59(1):doi:10.3390/medicina59010155.
APA：
Tian Daoming,Gao Zhenhua,Zhou Hang,Lin Han,Wang Xingqi...&Shen Jihong.(2023).A Comparative Study on the Clinical Efficacy of Simple Transobturator Midurethal Sling and Posterior Pelvic Floor Reconstruction.MEDICINA-LITHUANIA,59,(1)
MLA：
Tian Daoming,et al."A Comparative Study on the Clinical Efficacy of Simple Transobturator Midurethal Sling and Posterior Pelvic Floor Reconstruction".MEDICINA-LITHUANIA 59..1(2023)
