Starkman Jonathan S, Meints Laura, Scarpero Harriette M, Dmochowski Roger R
Department of Urologic Surgery, Vanderbilt University Medical Center, A-1302 Medical Center North, Nashville, TN 37232-2765, USA.
Int Urogynecol J Pelvic Floor Dysfunct. 2007 Jan;18(1):113-5. doi: 10.1007/s00192-006-0084-z. Epub 2006 Apr 21.
Synthetic mid-urethral slings are currently the most common surgical procedure performed for the treatment of female stress urinary incontinence. The transobturator mid-urethral sling technique was originally described in 2001 and has since become widely accepted due to its high rate of success and low complication rate. Although complications remain infrequent, when they do occur, there is potential for significant patient morbidity. We report a case of a vesicovaginal fistula following a transobturator mid-urethral sling procedure and describe successful reconstruction with transvaginal sling excision, fistula closure, and placement of an autologous pubovaginal sling.
合成尿道中段吊带术是目前治疗女性压力性尿失禁最常用的外科手术。经闭孔尿道中段吊带技术最初于2001年被描述，因其成功率高、并发症发生率低，此后已被广泛接受。尽管并发症仍然很少见，但一旦发生，就有可能给患者带来严重的发病风险。我们报告一例经闭孔尿道中段吊带术后发生膀胱阴道瘘的病例，并描述了通过经阴道吊带切除、瘘管闭合和自体耻骨阴道吊带置入成功重建的过程。
