Sivaslioglu Ahmet Akin, Unlubilgin Eylem, Dölen Ismail
Ankara Etlik Maternity and Women's Health Teaching Hospital, Ankara, Turkey.
Int Urogynecol J Pelvic Floor Dysfunct. 2008 Mar;19(3):417-20. doi: 10.1007/s00192-007-0456-z. Epub 2007 Sep 18.
This study was designed to clarify whether the structure of multifilament tape or the surgical technique is associated with vaginal erosions. Patients were randomized into two groups: in group 1, formed from the patients who were operated with the technique "setting the tape loosely leaving a scissor tip gap between the tape and the urethra," and in group 2, formed from the patients who were operated with the technique "setting the tape actually touched the urethra and covering the tape by the adjacent pubocervicovaginal fascia with the aid of a suture." After 4-year follow-up, it was found that the erosion rate was very high in group 1 (13.6%). We conclude that the high erosion rate seen in multifilament tapes is associated with the surgical technique that is used, not the structure of the multifilament tape.
本研究旨在阐明多丝吊带的结构或手术技术是否与阴道糜烂有关。患者被随机分为两组：第1组由采用“将吊带宽松放置，在吊带与尿道之间留出剪刀尖间隙”技术进行手术的患者组成；第2组由采用“将吊带实际接触尿道，并借助缝线用相邻的耻骨宫颈阴道筋膜覆盖吊带”技术进行手术的患者组成。经过4年的随访，发现第1组的糜烂率非常高（13.6%）。我们得出结论，多丝吊带中观察到的高糜烂率与所采用的手术技术有关，而非多丝吊带的结构。
