Carlin B I, Klutke J J, Klutke C G
Division of Urology, Washington University School of Medicine, St. Louis, Missouri, USA.
Urology. 2000 Dec 4;56(6 Suppl 1):28-31. doi: 10.1016/s0090-4295(00)00707-x.
The newest development in the treatment of female stress incontinence is the tension-free vaginal tape (TVT) procedure. This procedure was first described by Ulmsten et al. in 1996 and involves recreating suburethral support with a polypropylene mesh, without repositioning the bladder or urethra. In their initial study, Ulmsten et al. reported an 84% cure rate at 2-year follow-up. The purpose of this report is to discuss the evolution and technical aspects of the TVT procedure and to outline the pre- and postoperative care recommended. A brief summary of our initial experience in our first 100 patients is included.
女性压力性尿失禁治疗的最新进展是无张力阴道吊带（TVT）手术。该手术由乌尔姆斯特恩等人于1996年首次描述，包括使用聚丙烯网片重建尿道下支撑，而无需重新定位膀胱或尿道。在他们的初步研究中，乌尔姆斯特恩等人报告称，在2年的随访中治愈率为84%。本报告的目的是讨论TVT手术的发展和技术方面，并概述推荐的术前和术后护理。其中还包括我们对首批100例患者的初步经验的简要总结。
