Shindel Alan W, Ruiz Alana C, Klutke Carl G
Barnes-Jewish Hospital, Division of Urology, Department of Surgery, 1 Barnes-Jewish Hospital Place, Campus Box 8242, Saint Louis, MO 63110, USA.
Expert Rev Med Devices. 2005 Sep;2(5):613-22. doi: 10.1586/17434440.2.5.613.
Minimally invasive suburethral sling procedures have become a mainstay for the surgical treatment of stress urinary incontinence in women. The transvaginal tape sling is the urethral sling most commonly used today. Although the transvaginal tape procedure is safe and efficacious, complications such as bladder, bowel and blood vessel injury have been reported. The most promising recent innovation in minimally invasive surgery for stress urinary incontinence is the transobturator approach for sling placement. This review will cover the mechanism of continence, rationale for the use of suburethral slings in the treatment of stress urinary incontinence, characteristics of polypropylene, comparison of the slings that are commercially available and early data on the efficacy of the transobturator approach in the treatment of stress urinary incontinence.
微创尿道下吊带手术已成为女性压力性尿失禁外科治疗的主要手段。经阴道无张力尿道中段悬吊带术是目前最常用的尿道吊带术。尽管经阴道无张力尿道中段悬吊带术安全有效，但仍有膀胱、肠道及血管损伤等并发症的报道。压力性尿失禁微创手术中最有前景的最新创新是经闭孔途径放置吊带。本综述将涵盖控尿机制、尿道下吊带治疗压力性尿失禁的理论基础、聚丙烯的特性、市售吊带的比较以及经闭孔途径治疗压力性尿失禁的早期疗效数据。
