Mustafa Mahmoud
Department of Urology, Osmaniye State Hospital, Osmaniye, Turkey.
Korean J Urol. 2011 Mar;52(3):184-8. doi: 10.4111/kju.2011.52.3.184. Epub 2011 Mar 18.
Modest long-term success is one of the most disappointing issues facing patients undergoing anti-incontinence surgery. Herein we introduce a novel surgical modification of the vaginal sling to address the mechanisms that may lead to a reduction in the success rate at the long-term follow-up.
Twenty-three female patients with mean age of 48.2 years (range, 22-73 years) underwent anti-incontinence surgery to correct their stress urinary incontinence (SUI) between August 2006 and January 2008. The in situ anterior vaginal wall sling, reinforced with equi-size monofilament polypropylene tape, was used as an anti-incontinence surgical procedure. The mean follow-up period was 30.2 months (range, 24-38 months).
The surgical technique was successful in 22 patients (95.65%); 20 of them were cured and 2 patients showed clinical improvements. Urinary retention was observed in one patient (4.34%), which was resolved after decreasing the tension of the suspension sutures. No significant post-voiding residue was detected postoperatively.
Cost-effectiveness and a low risk of urethral erosion, due to the presence of intervening vaginal mucosa, are important advantages of this technique. Long-term success is expected, because relaxation of the non-tension-free suspension sutures and dislocation of the midurethral sling are less likely.
对于接受抗尿失禁手术的患者而言，长期疗效欠佳是最令人失望的问题之一。在此，我们介绍一种阴道吊带手术的新型改良方法，以解决可能导致长期随访成功率降低的相关机制问题。
2006年8月至2008年1月期间，23例平均年龄48.2岁（范围22 - 73岁）的女性患者接受了抗尿失禁手术以纠正压力性尿失禁（SUI）。采用等尺寸单丝聚丙烯带加固的原位阴道前壁吊带作为抗尿失禁手术方法。平均随访期为30.2个月（范围24 - 38个月）。
手术技术在22例患者中成功（95.65%）；其中20例治愈，2例有临床改善。1例患者（4.34%）出现尿潴留，在降低悬吊缝线张力后得以解决。术后未检测到明显的残余尿量。
由于存在中间的阴道黏膜，该技术具有成本效益且尿道侵蚀风险低，这些都是重要优势。预计长期成功率较高，因为无张力悬吊缝线松弛和尿道中段吊带移位的可能性较小。
