Pelosi Marco A, Pelosi Marco A
Pelosi Women's Medical Center Bayonne, New Jersey, USA.
Surg Technol Int. 2004;13:173-9.
T his innovative sling system places the sling between the obturator foramens using a perineal approach while preserving an intact retropubic space. Potential complications associated with tension-free sling systems that use needle-carrier placement through the retropubic space, such as the tension-free vaginal tape (TVT, Gynecare, Ethicon, Somerville, NJ, USA), are eliminated and routine cystoscopy is not required. The procedure is effective and safe for the primary treatment of stress urinary incontinence in patients with urethral hypermobility, intrinsic sphincter deficiency, or both. It is equally efficient in treatment of recurrent and mixed urinary incontinence. Short-term results are similar to those of the retropubic tension-free slings.
这种创新的吊带系统采用会阴入路将吊带置于闭孔之间，同时保留完整的耻骨后间隙。与通过耻骨后间隙放置针托的无张力吊带系统（如无张力阴道吊带[TVT，美国新泽西州萨默维尔市Ethicon公司的Gynecare产品]）相关的潜在并发症得以消除，且无需常规膀胱镜检查。该手术对于尿道活动过度、固有括约肌缺陷或两者兼有的压力性尿失禁患者的初始治疗有效且安全。在治疗复发性和混合性尿失禁方面同样有效。短期效果与耻骨后无张力吊带相似。
