Winters J C, Scarpero H M, Appell R A
Section of Voiding Dysfunction and Female Urology, Ochsner Clinic, and Louisiana State University Medical Center, New Orleans, Louisiana, USA.
Urology. 2000 Dec 4;56(6 Suppl 1):15-22. doi: 10.1016/s0090-4295(00)00750-0.
Stress urinary incontinence remains one of the most prevalent conditions encountered by urologists. In many cases, surgical correction of this condition is carried out using a pubovaginal sling procedure. Bone anchors were initially used in transvaginal needle suspension procedures to improve stabilization of the bladder neck. This technology has been extended to sling procedures, allowing completion of these procedures by an entirely transvaginal approach. Early results of these procedures are encouraging, and overall morbidity appears much less when compared with conventional pubovaginal sling procedures. In this article, the application of bone anchors in female urology is reviewed. Techniques of pubovaginal sling and abdominal sacrocolpopexy using bone anchors and potential complications of bone anchor implantation are discussed. Surgeons performing procedures for the treatment of stress incontinence should be aware of the benefits and potential risks of bone anchor implantation.
压力性尿失禁仍然是泌尿外科医生遇到的最常见病症之一。在许多情况下，这种病症的手术矫正采用耻骨后阴道吊带术。骨锚最初用于经阴道穿刺悬吊术，以改善膀胱颈的稳定性。这项技术已扩展到吊带术，使得这些手术能够通过完全经阴道的方法完成。这些手术的早期结果令人鼓舞，与传统的耻骨后阴道吊带术相比，总体发病率似乎要低得多。在本文中，将对骨锚在女性泌尿外科中的应用进行综述。将讨论使用骨锚的耻骨后阴道吊带术和腹骶阴道固定术的技术以及骨锚植入的潜在并发症。进行压力性尿失禁治疗手术的外科医生应了解骨锚植入的益处和潜在风险。
