Demirci Fuat, Ozdemir Ismail, Yucel Oguz, Alhan Ali
Department of Obstetrics and Gynaecology, Abant Izzet Baysal University, Duzce Medical School, Duzce, Turkey.
Aust N Z J Obstet Gynaecol. 2003 Feb;43(1):58-60. doi: 10.1046/j.0004-8666.2003.00006.x.
We developed a cost-effective procedure for genuine stress incontinence (GSI) that has the advantages of the tension-free vaginal tape (TVT). The midurethral polypropylene sling procedure (MPS) is carried out under local anaesthesia. A self-fashioned sling (7.5 x 1 cm) was created from a polypropylene mesh with two lengthening polypropylene sutures at the ends. The sutures are carried through the rectus fascia using a needle and the sling is placed around the urethra. Ten patients underwent the MPS and were followed up for a mean of 6.2 months. All patients were cured. The short-term results of the MPS were comparable to those of the TVT. The procedure costs approximately US dollar 9. We conclude that the MPS can be considered as an alternative to the TVT procedure.
我们开发了一种针对真性压力性尿失禁（GSI）的经济高效的手术方法，它具有无张力阴道吊带术（TVT）的优点。中段尿道聚丙烯吊带手术（MPS）在局部麻醉下进行。用聚丙烯网片制作一个自制吊带（7.5×1厘米），两端带有两根加长的聚丙烯缝线。用针将缝线穿过腹直肌筋膜，然后将吊带放置在尿道周围。10例患者接受了MPS手术，并平均随访6.2个月。所有患者均治愈。MPS的短期效果与TVT相当。该手术费用约为9美元。我们得出结论，MPS可被视为TVT手术的替代方法。
