O'Donnell P D
Department of Urology, University of Arkansas for Medical Sciences, Little Rock.
J Ark Med Soc. 1992 Jan;88(8):389-92.
Urinary incontinence is a debilitating problem that affects over 20 million people in the United States. Anatomical stress incontinence in women has an excellent continence outcome following urethral suspension procedures. However, intrinsic urethral incontinence has a high failure rate following urethral suspension procedures and is usually managed with a pubovaginal sling procedure. Eight patients with both anatomical and intrinsic urethral incontinence were managed with a combined urethral suspension procedure and pubovaginal sling procedure. Seven patients remain continent while one continues to have intrinsic urethral incontinence. The combined urethral suspension procedure and pubovaginal sling procedure appears to provide a treatment option for patients with coexisting anatomical and intrinsic urethral incontinence.
尿失禁是一个使人衰弱的问题，在美国影响着超过2000万人。女性解剖性压力性尿失禁在接受尿道悬吊手术后有良好的控尿效果。然而，真性尿道失禁在尿道悬吊手术后失败率很高，通常采用耻骨后阴道吊带手术治疗。8例同时患有解剖性和真性尿道失禁的患者接受了尿道悬吊术和耻骨后阴道吊带术联合治疗。7例患者保持控尿，1例仍有真性尿道失禁。尿道悬吊术和耻骨后阴道吊带术联合似乎为并存解剖性和真性尿道失禁的患者提供了一种治疗选择。
