Sottner O, Halaska M, Maxová K, Vlácil J, Kolarík D, Chaloupecký J, Hurt K, Záhumenský J, Zmrhalová B, Vojtech J
Gynekologicko-porodnická klinika 1. LF UK a FN Na Bulovce, Praha.
Ceska Gynekol. 2010 Apr;75(2):101-4.
The aim of this paper is to introduce the new Single-Incision Sling System MiniArc in treatment of the female stress urinary incontinence.
Prospective follow up.
Department of Obstetrics and Gynaecology, The First Faculty of Medicine, Charles University in Prague.
Prospective follow up of the first set of 38 patients treated with the new method MiniArc.
We performed initial 38 cases of MiniArc under the local anesthesia. There was neither the complication during procedure, nor during the early postoperative period. No patient required urine derivation. Late postoperative period showed neither obstruction, nor ,,de novo urgency". One asymptomatic sub-urethral tape protrusion into the vagina was found. No late postoperative pain occurred. Subjective cure rate was investigated in 33 ladies with follow up from 6 weeks through 19 months. 23 females declared full dryness (i.e., 76.7%), 6 patients were very satisfied and declared improvement of more than 70% (i. e. 20.0%); thus we obtained efficacy in 29 cases of 30 (i. e. 96.7%). We have not seen any vanishing of the sling effect. Based on our initial experience we judge the new single incision tape as very promising.
本文旨在介绍新型单切口吊带系统MiniArc治疗女性压力性尿失禁的情况。
前瞻性随访。
布拉格查理大学医学院第一附属医院妇产科。
对首批采用MiniArc新方法治疗的38例患者进行前瞻性随访。
我们在局部麻醉下进行了38例MiniArc手术。术中及术后早期均未出现并发症。无一例患者需要导尿。术后晚期既未出现梗阻，也未出现“新发尿急”。发现1例无症状的尿道下吊带突入阴道。术后晚期无疼痛发生。对33例随访6周至19个月的女性进行主观治愈率调查。23名女性宣称完全干爽（即76.7%），6名患者非常满意并宣称改善超过70%（即20.0%）；因此，30例中有29例有效（即96.7%）。我们未发现吊带效果消失的情况。基于我们的初步经验，我们认为新型单切口吊带非常有前景。
