Ozel Begüm, Minaglia Steven, Hurtado Eric, Klutke Carl G, Klutke John J
Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of Southern California School of Medicine, Los Angeles, California 90033, USA.
Urology. 2004 Nov;64(5):1030. doi: 10.1016/j.urology.2004.06.042.
Voiding dysfunction after mid-urethral sling procedures is uncommon but not completely avoidable. We report on a method to adjust the transobturator mid-urethral sling under local anesthesia in the early postoperative period for postoperative voiding difficulty. At postoperative day 17 and 18, 2 women, who had undergone the transobturator tape procedure for stress incontinence, underwent successful loosening of the mesh through the previous vaginal incision, without the need to transect or remove the tape. Both patients had immediate resolution of their symptoms while maintaining urinary continence.
经尿道中段吊带手术后出现排尿功能障碍并不常见，但并非完全不可避免。我们报告一种在术后早期局部麻醉下调整经闭孔尿道中段吊带以解决术后排尿困难的方法。在术后第17天和18天，2名因压力性尿失禁接受经闭孔尿道中段吊带手术的女性，通过先前的阴道切口成功松解了网片，无需切断或移除吊带。两名患者的症状均立即得到缓解，同时保持了尿失禁。
