But Igor
Department of General Gynecology and Urogynecology, Maribor Teaching Hospital, Ljubljanska 5, 2000 Maribor, Slovenia.
Int Urogynecol J Pelvic Floor Dysfunct. 2005 Nov-Dec;16(6):506-8. doi: 10.1007/s00192-004-1266-1. Epub 2005 Jan 12.
Transobturator Prolene tape insertion represents a new method of operative treatment for stress urinary incontinence. The first results show that it is a simple and effective procedure accompanied by a minimum number of complications. Since February 2004, 30 Monarc procedures were done at our department and no intraoperative complications were observed. However, two cases (6.7%) of vaginal wall erosion due to the Prolene tape were noted 6 weeks after surgery. In a subsequent surgical procedure, the periurethral portion of the tape was removed and a new Prolene tape was placed through the retropubic space. Three months after secondary surgery both patients were continent, with no sign of erosion. The transobturator approach was introduced to minimize the risk of complications. However, the greater prevalence of vaginal wall erosion after this procedure found in our series demands a scrupulous search for this complication and for the mechanisms leading to its occurrence.
经闭孔聚丙烯网带置入术是压力性尿失禁的一种新型手术治疗方法。初步结果表明，该手术操作简单、效果显著，且并发症极少。自2004年2月起，我科共进行了30例Monarc手术，术中未观察到并发症。然而，术后6周发现2例（6.7%）因聚丙烯网带导致的阴道壁侵蚀。在后续手术中，移除了网带的尿道周围部分，并经耻骨后间隙置入了一条新的聚丙烯网带。二次手术后三个月，两名患者均无尿失禁，且无侵蚀迹象。采用经闭孔入路旨在将并发症风险降至最低。然而，我们的系列研究发现，该手术后阴道壁侵蚀的发生率较高，因此需要仔细查找这种并发症及其发生机制。
