Cayrac M, Ben Naoum K, Costa P, Mares P, de Tayrac R
Service de gynécologie-obstétrique, hôpital Carémeau, place du Professeur-Robert-Debré, 30029 Nîmes cedex 9, France.
Gynecol Obstet Fertil. 2010 Nov;38(11):710-3. doi: 10.1016/j.gyobfe.2010.09.009. Epub 2010 Oct 27.
To assess feasibility and results of mid-urethral sling placement for stress urinary incontinence (SUI) in adult women after transurethral injection therapy failure.
Eleven patients were operated on for a mid-urethral sling placement after at least one transurethral injection therapy, from January 2005 to February 2008. Injections were performed for moderate non-daily SUI, or according to patient willingness, or for SUI surgical history. Mean age at the time of surgery was 59.9 years (range: 33 to 84).
Mean operative time, including control cystoscopy time during TVT placement, was 26 minutes (20-35). There were no peri-operative complications, nor problems for dissection or tape placement. At a mean follow-up of 9.9 months (5-20), 9/11 (81%) patients were dry with no lower urinary tract disorders.
SUI treatment by mid-urethral sling after transurethral injections failure is feasible not bothered by the injected material and effective at short-term.
评估经尿道注射治疗失败后，成年女性压力性尿失禁（SUI）行尿道中段吊带置入术的可行性及效果。
2005年1月至2008年2月，11例患者在至少接受一次经尿道注射治疗后接受了尿道中段吊带置入术。注射治疗适用于中度非每日发作的SUI，或根据患者意愿，或有SUI手术史的情况。手术时的平均年龄为59.9岁（范围：33至84岁）。
包括经阴道无张力尿道中段吊带术（TVT）置入期间的膀胱镜检查时间在内，平均手术时间为26分钟（20 - 35分钟）。无围手术期并发症，分离或吊带置入均无问题。平均随访9.9个月（5 - 20个月），11例患者中有9例（81%）无下尿路疾病且尿液干爽。
经尿道注射治疗失败后，采用尿道中段吊带治疗SUI是可行的，不受注射材料影响，且短期有效。
