Simonazzi M, Larosa M, Frattini A, Pozzoli G, Arena F
Divisione di Urologia, Azienda Ospedaliera di Parma.
Acta Biomed Ateneo Parmense. 1996;67(1-2):33-7.
Since the 1993, a series of 22 women with stress urinary incontinence underwent bladder neck suspension, according to Gittes (pubovaginal suspension). No patients had preoperative detrusor instability or intrinsic sphincter dysfunction; 14 pts had a significant cystocele (II-III degree). We followed up 20 pts at 6 months: 9 pts (45%) were cured, 3 were significantly improved and 8 were not improved. Disappearance or marked improvement of moderate or severe cystocele wasn't confirmed in all pts. No serious complications were recognized. We believe that this procedure is quick and easy to perform with low morbidity and is useful where the indication is correct: patients with stress incontinence without significant anterior vaginal wall prolapse.
自1993年以来，按照吉特斯法（耻骨阴道悬吊术），对22例压力性尿失禁女性患者进行了膀胱颈悬吊术。术前无患者存在逼尿肌不稳定或固有括约肌功能障碍；14例患者有明显的膀胱膨出（Ⅱ-Ⅲ度）。我们对20例患者进行了6个月的随访：9例（45%）治愈，3例明显改善，8例无改善。并非所有患者的中度或重度膀胱膨出均消失或明显改善。未发现严重并发症。我们认为，该手术操作快速简便，发病率低，在适应证正确的情况下很有用：适用于无明显阴道前壁脱垂的压力性尿失禁患者。
