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1篇 您的检索式：作者名="Webster G.D."

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		题名	作者	年代	出处	被引量
	1	压力性尿失禁手术后顽固性紧迫尿失禁的骶神经调节治疗显示文摘Objective: This study was undertaken to evaluate the response to sacral neuromodulation in women with refractory, nonobstructive urinary urge incontinence after stress incontinence surgery. Study design: We reviewed the medical records of women in whom sacral neuromodulation was performed for worsening or de novo urinary urge incontinence after a stress incontinence procedure. All patients had undergone preliminary test stimulation. Demographics, surgical and urogynecologic history, including bladder diary and pad weight test, and urodynamic parameters were evaluated. Results: Of 34 women, 22 (65% ) responded to the test stimulation and underwent permanent lead implant. There was no difference between responders and nonresponders with respect to type of stress incontinence surgery. Incontinence or urodynamic parameters were not different between responders and nonresponders. Factors that were predictive of a positive response were women aged less than 55 years (P = .01), the test stimulation performed within 4 years of the stress incontinence procedure (P = .01), and evidence of pelvic floor muscle activity (P = .03). Conclusion: Sacral neuromodulation is a viable option for the treatment of refractory urinary urge incontinence that occurs after stress urinary incontinence surgery. Older women with no pelvic floor activity who are remote from their incontinence surgery may have a suboptimal response.	Sherman N.D. Jamison M.G. Webster G.D. Amundsen C.L. 党慧敏	2006	世界核心医学期刊文摘(妇产科学分册)2006，0，8：	0

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