Hernández Fernández Carlos, de Palacio España Andrés, Escribano Patiño Gregorio, Díez Cordero Jose María, Bielsa Carrillo Alejandro
Servicio de Urología, Hospital General Universitario Gregorio Marañón, Dr. Esquerdo, 46 28007 Madrid, España.
Arch Esp Urol. 2002 Jul-Aug;55(6):637-42.
To evaluate our own experience with laparoscopic bladder neck suspension. The laparoscopic procedure is performed by anchoring a mesh from the vagina to the ligament, thus creating tension. This technique has several characteristics that make it very attractive: it is easy to learn, operating times are short and it is a commonly indicated procedure.
We present a series of 72 women with history of urinary stress incontinence to whom a laparoscopic bladder neck suspension was indicated.
The procedure was completed in 69 patients, with a mean operative time of 40 minutes. Mean hospital stay was 1.6 days (Range 1 to 5 days). Continence rate was 82% after a median follow up of 31 months. 12 patients recurred after the operation, 7 of them recurred in the first 2 months and 5 had previous surgical history; this makes us think whether the technique was not adequately performed or the indication for treatment was not suitable.
We believe that, although it is necessary a longer follow-up, laparoscopic bladder neck suspension can be considered a good alternative in the treatment of urinary stress incontinence.
评估我们自己开展腹腔镜膀胱颈悬吊术的经验。腹腔镜手术是通过将一块网片从阴道固定到韧带，从而产生张力来进行的。该技术具有几个使其极具吸引力的特点：易于学习，手术时间短，且是一种常用的术式。
我们报告了一系列72例有压力性尿失禁病史且适合进行腹腔镜膀胱颈悬吊术的女性患者。
69例患者完成了手术，平均手术时间为40分钟。平均住院时间为1.6天（范围1至5天）。中位随访31个月后，控尿率为82%。12例患者术后复发，其中7例在术后前2个月复发，5例有既往手术史；这使我们思考该技术是否操作不当或治疗指征是否不合适。
我们认为，尽管需要更长时间的随访，但腹腔镜膀胱颈悬吊术可被视为治疗压力性尿失禁的一种良好选择。
