Kasturi Seshadri, Hale Douglass S
Division of Female Pelvic Medicine and Reconstructive Surgery, Indiana University, 1633 N. Capitol Avenue, Suite 436, Indianapolis, IN 46202, USA.
Int Urogynecol J. 2011 Aug;22(8):933-6. doi: 10.1007/s00192-011-1404-5. Epub 2011 Apr 2.
This study evaluates the efficacy of dividing the sling in a "J" fashion in the management of refractory voiding dysfunction with obstructive voiding symptoms after midurethral slings. The sling is cut at 9 or 3 o'clock position, such that a part of the sling posterior to the urethra is intact.
This was a retrospective pilot study; analyzing patients who underwent sling division using the J cut technique for postoperative voiding dysfunction after midurethral slings between 2006 and 2010.
Fifteen patients were identified during the study period. Mean post-void residual dropped from 239 mL (169.1) to 44.8 mL (47.5). The success rate for resolution of voiding dysfunction was 100%.
The J cut of the sling is an effective technique to manage voiding dysfunction after midurethral sling procedures.
本研究评估了以“J”形方式分割吊带在治疗经尿道中段吊带术后难治性排尿功能障碍伴梗阻性排尿症状中的疗效。在9点或3点位置切断吊带，使尿道后方的一部分吊带保持完整。
这是一项回顾性试点研究；分析2006年至2010年间因经尿道中段吊带术后排尿功能障碍而采用J形切割技术进行吊带分割的患者。
在研究期间共确定了15例患者。平均排尿后残余尿量从239毫升（169.1）降至44.8毫升（47.5）。排尿功能障碍的解决成功率为100%。
吊带的J形切割是治疗经尿道中段吊带术后排尿功能障碍的有效技术。
