Mustafa Mahmoud, Wadie Bassem S
Department of Urology, Camlica Hayat Hospital, Istanbul, Turkey, and Urology and Nephrology Center, Mansoura University, Mansour, Egypt.
Int J Urol. 2006 Feb;13(2):132-4. doi: 10.1111/j.1442-2042.2006.01246.x.
To evaluate the efficacy of a simple and economic procedure using a placard-shaped in situ anterior vaginal wall sling for the treatment of stress urinary incontinence, with or without cystocele repair.
From July 2003 to July 2004, 14 female patients (mean age 45.21 years, range 37-57) were operated upon because of stress urinary incontinence (SUI) with the placard-shaped in situ anterior vaginal wall sling technique. The average follow-up period was 11 months (range 4-14.5 months). Twelve patients were operated primarily with this technique and only two patients had undergone previous surgeries for the treatment of SUI (one patient had had two previous surgeries and the other had had one previous surgery). In all patients urethral hypermobility or/and bladder prolapse were observed. Filling cystometry showed sufficient bladder capacity with no detrusor overactivity.
No urinary retention was observed in any patient in the postoperative period. While 11 patients have 100% cure of incontinence, three patients started leakage of urine after 1-2 months after the operation (one patient had been operated upon twice before (and who was diabetic and obese) and two patients were primarily repaired by our technique). In two patients, suprapubic tenderness and redness were observed, and were treated by oral antibiotic and anti-inflammatory drugs.
The placard technique is simple, cost-effective and has low incidence of urinary retention in the post-operative period. The success rate seems to be satisfactory and it can be applicable to patients who are primary cases of SUI with average body mass index. Yet longer term follow up and larger number of patients are needed before final conclusion can be drawn.
评估使用贴片状原位阴道前壁吊带进行简单且经济的手术治疗压力性尿失禁（无论是否合并膀胱膨出修补）的疗效。
2003年7月至2004年7月，14例女性患者（平均年龄45.21岁，范围37 - 57岁）因压力性尿失禁采用贴片状原位阴道前壁吊带技术进行手术。平均随访期为11个月（范围4 - 14.5个月）。12例患者首次采用该技术手术，仅2例患者曾接受过压力性尿失禁治疗手术（1例患者曾接受过两次手术，另1例患者曾接受过一次手术）。所有患者均观察到尿道活动过度或/和膀胱脱垂。膀胱充盈测压显示膀胱容量充足，无逼尿肌过度活动。
术后所有患者均未出现尿潴留。11例患者尿失禁得到100%治愈，3例患者在术后1 - 2个月开始出现尿漏（1例患者曾接受过两次手术（且患有糖尿病和肥胖症），2例患者首次采用我们的技术进行修复）。2例患者出现耻骨上压痛和发红，经口服抗生素和抗炎药物治疗。
贴片状技术简单、成本效益高，术后尿潴留发生率低。成功率似乎令人满意，适用于体重指数平均的原发性压力性尿失禁患者。然而，在得出最终结论之前，还需要更长时间的随访和更多的患者。
