压力性尿失禁(SUI)是女性的常见病。治疗SUI的通常方法是从保守到外科手术的逐步计划。阴道子宫托是一种常用的保守治疗方法,可改善失禁妇女的症状。这篇综述对阴道子宫托对SUI患者的益处和缺点进行了批判性分析。特别关注适应症,优势,生活质量,患者满意度,和潜在的并发症。为了获得所需的信息,对PubMed和Cochrane数据库进行了广泛的搜索,涵盖时间范围从2000年1月到2016年12月。我们还调查了美国泌尿外科协会公布的指南,加拿大泌尿外科协会,美国泌尿外科学会,美国国立卫生研究院,和国家健康与护理卓越研究所(英国)。共192篇原创研究论文,评论文章,并确定了临床试验。对检索到的数据的分析提供了证据,表明阴道栓是SUI的有效非手术选择。子宫托使用的满意率很高,只有轻微的并发症,如果有的话,发生,最常见的是阴道分泌物。经过审查的研究表明,如果阴道子宫托适合并通过频繁的更换和定期检查进行管理,则可以充分控制SUI。应将其视为与运动和腹内压增加相关的SUI的一线治疗方法。
Stress urinary incontinnce (SUI) is a common condition among women. The usual approach to treatment of SUI is a stepwise plan from conservative to surgical procedures. A vaginal pessary is one of the commonly used conservative treatments that offer symptomatic improvement for women with incontinence. This
review provides a critical analysis of the benefits and shortcomings offered by vaginal pessaries to patients affected by SUI, with a particular focus on indications, advantages, quality of life, patient satisfaction, and potential complications. To obtain the required information, an extensive search of PubMed and Cochrane databases was performed, covering the time frame from January 2000 to December 2016. We also surveyed the published guidelines of American Urological Association, Canadian Urological Association, American Urogynecological Society, National Institutes of Health (USA), and National Institute for Health and Care Excellence (UK). A total of 192 original research papers,
review articles, and clinical trials were identified. The analysis of retrieved data provides evidence that vaginal pessaries constitute an effective nonsurgical option for SUI. The satisfaction rate with pessary use is high and only minor complications, if any, occur, vaginal discharge being the most common. The reviewed studies document that vaginal pessaries provide an adequate control of SUI if they are fit properly and managed by frequent replacements and regular checkups. They should be considered among the first line of treatment for SUI associated with exercise and increased intra-abdominal pressure.