Lee R A, Symmonds R E
Am J Obstet Gynecol. 1975 May;122(2):219-29. doi: 10.1016/s0002-9378(16)33494-9.
Thirty-six patients with recurrent stress incontinence had undergone a total of 109 previous procedures, at least one of which had been a Marshall-Marchetti-Krantz (MMK) operation. At the time of operative dissection, it was apparent that most of these patients had had an "alleged" MMK operation with no evidence of adhesion or scarring in the periurethral and vesical neck regions. With the transvesical approach, accurate assessment of the tone and quality of the bladder neck and the proximal urethra is possible. This approach also provides an opportunity to "see and feel" the effect of the properly placed periurethral and suspending suture. Thirty-two of 36 patients are continent after repeated suspension augmented by plication and bladder revision
36例复发性压力性尿失禁患者此前共接受了109次手术，其中至少有一次是马歇尔-马凯蒂-克兰茨（MMK）手术。在手术解剖时，很明显这些患者中的大多数接受的是“所谓的”MMK手术，在尿道周围和膀胱颈部区域没有粘连或瘢痕形成的证据。采用经膀胱入路，可以准确评估膀胱颈部和近端尿道的张力及质量。这种入路还提供了一个“观察和感受”正确放置的尿道周围和悬吊缝线效果的机会。36例患者中有32例在经重复悬吊、折叠和膀胱修复术后实现了控尿
