Abstract：
BACKGROUND: Diastasis recti abdominis (DRA) indicates an abnormal separation of the rectus abdominal muscles from the midline, resulting in abdominal bulging. Recent literature shows a correlation between DRA and back pain, stress urinary incontinence. Primary goal of this study is to check the correlation between DRA correction in abdominoplasty and improvement of urinary symptoms.
METHODS: This is a prospective study on patients with post-pregnancy rectus diastasis who underwent surgical correction of diastasis through conventional abdominoplasty. All patients were asked to complete the ICIQ-FLUTS questionnaire, which assesses urinary disorders, and the SF-36 questionnaire, aimed at quantifying health-related quality of life. The questionnaires were administered to patients the day before surgery and one year after surgery.
RESULTS: The recruited patients (n = 51) were then stratified on the presence or absence of stress urinary incontinence. Of the 39 patients with preoperative incontinence, the average scores of the ICIQ-FLUTS were analyzed. In particular, for the questions relating to stress urinary incontinence a statistically significant difference was reported between the preoperative mean and the 1-year mean for all questions (p value<0.05). As regards quality of life, comparing the average scores of each question of SF-36 there is an improvement in the values of all the variables of the questionnaire.
CONCLUSIONS: The strength of this study, which distinguishes it from other literature, is that the changes in abdominal pressure post-abdominoplasty which should lead to a worsening of stress incontinence, do not cause it. On the contrary, we have demonstrated the improvement of this symptom after conventional abdominoplasty surgery in most patients.
METHODS: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
METHODS: This is a prospective study on patients with post-pregnancy rectus diastasis who underwent surgical correction of diastasis through conventional abdominoplasty. All patients were asked to complete the ICIQ-FLUTS questionnaire, which assesses urinary disorders, and the SF-36 questionnaire, aimed at quantifying health-related quality of life. The questionnaires were administered to patients the day before surgery and one year after surgery.
RESULTS: The recruited patients (n = 51) were then stratified on the presence or absence of stress urinary incontinence. Of the 39 patients with preoperative incontinence, the average scores of the ICIQ-FLUTS were analyzed. In particular, for the questions relating to stress urinary incontinence a statistically significant difference was reported between the preoperative mean and the 1-year mean for all questions (p value<0.05). As regards quality of life, comparing the average scores of each question of SF-36 there is an improvement in the values of all the variables of the questionnaire.
CONCLUSIONS: The strength of this study, which distinguishes it from other literature, is that the changes in abdominal pressure post-abdominoplasty which should lead to a worsening of stress incontinence, do not cause it. On the contrary, we have demonstrated the improvement of this symptom after conventional abdominoplasty surgery in most patients.
METHODS: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
摘要：
背景：腹直肌（DRA）表示腹直肌与中线的异常分离，导致腹部隆起。最近的文献显示DRA与背痛之间存在相关性，压力性尿失禁.这项研究的主要目的是检查腹部成形术中DRA矫正与改善泌尿症状之间的相关性。
方法：这是一项针对妊娠后直肌舒张患者的前瞻性研究，这些患者通过常规腹部成形术进行了手术矫正。所有患者都被要求填写ICIQ-FLUTS问卷，评估泌尿系统疾病，和SF-36问卷，旨在量化与健康相关的生活质量。在手术前一天和手术后一年对患者进行问卷调查。
结果：然后对招募的患者（n=51）根据是否存在压力性尿失禁进行分层。39例术前尿失禁患者,分析了ICIQ-FLUTS的平均得分。特别是,对于与压力性尿失禁相关的问题,所有问题的术前平均值和1年平均值均有统计学差异(p值<0.05).关于生活质量，比较SF-36每个问题的平均得分，问卷的所有变量的值都有所改善。
结论：这项研究的强度，这将它与其他文献区分开来，腹部成形术后腹压的变化会导致压力性尿失禁的恶化，不要引起它。相反,我们已经证明，在大多数患者中，传统的腹部成形术后，这种症状得到了改善。
方法：本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述，请参阅目录或在线作者说明www。springer.com/00266.
方法：这是一项针对妊娠后直肌舒张患者的前瞻性研究，这些患者通过常规腹部成形术进行了手术矫正。所有患者都被要求填写ICIQ-FLUTS问卷，评估泌尿系统疾病，和SF-36问卷，旨在量化与健康相关的生活质量。在手术前一天和手术后一年对患者进行问卷调查。
结果：然后对招募的患者（n=51）根据是否存在压力性尿失禁进行分层。39例术前尿失禁患者,分析了ICIQ-FLUTS的平均得分。特别是,对于与压力性尿失禁相关的问题,所有问题的术前平均值和1年平均值均有统计学差异(p值<0.05).关于生活质量，比较SF-36每个问题的平均得分，问卷的所有变量的值都有所改善。
结论：这项研究的强度，这将它与其他文献区分开来，腹部成形术后腹压的变化会导致压力性尿失禁的恶化，不要引起它。相反,我们已经证明，在大多数患者中，传统的腹部成形术后，这种症状得到了改善。
方法：本期刊要求作者为每篇文章分配一定程度的证据。对于这些循证医学评级的完整描述，请参阅目录或在线作者说明www。springer.com/00266.
