Gozzi C, Bauer R M, Becker A J, Schorsch I, May F, Rehder P, Stief C G, Bastian P J
Urologische Klinik und Poliklinik, Klinikum, Ludwig-Maximilians-Universität München-Grosshadern, München, Deutschland.
Urologe A. 2008 Sep;47(9):1224-8. doi: 10.1007/s00120-008-1840-0.
The ever rising number of radical prostatectomies entails an increasing number of patients suffering from postoperative stress incontinence. Several minimally invasive techniques exist as surgical intervention options. All these procedures are based on an obstruction of the urethra. The functional retrourethral sling is a new and innovative sling suspension, which offers for the first time a non-obstructive functional therapeutic approach. The sling adjusts the changed anatomy after radical prostatectomy and exerts its effect by repositioning the lax and descended supporting structures of the sphincter in the former preoperative position. Thus continence can be achieved again. The success rate of this new technique is very good, yielding good results regarding both improving incontinence and continence rate. This new technique is secure and the results are reproducible.
根治性前列腺切除术的数量不断增加，导致术后压力性尿失禁的患者数量也日益增多。有几种微创技术可作为手术干预选项。所有这些手术都基于尿道梗阻。功能性后尿道吊带是一种全新的创新吊带悬吊术，首次提供了一种非梗阻性的功能性治疗方法。该吊带可调整根治性前列腺切除术后改变的解剖结构，并通过将括约肌松弛和下移的支撑结构重新定位到术前位置来发挥作用。从而可再次实现控尿。这项新技术的成功率非常高，在改善尿失禁和控尿率方面均取得了良好效果。这项新技术安全可靠，结果具有可重复性。
