Charlotte Continence Center, McKay Department of Urology, 1023 Edgehill Road South, Charlotte, NC 28207, USA.
Curr Urol Rep. 2011 Oct;12(5):316-22. doi: 10.1007/s11934-011-0200-6.
Traditional retropubic and transobturator midurethral slings are reliable, safe, and effective treatments for stress urinary incontinence. Unfortunately, they also are associated with rare but severe complications, such as bladder or bowel perforation, vascular injury, nerve damage, and/or groin muscle pain that can occur with the blind passage of trocars. To maintain efficacy and patient satisfaction while avoiding such complications, minimally invasive mini-slings have been developed. These smaller mini-slings can be placed through a single vaginal incision at the level of the midurethra without trocars. Mini-slings often are performed as an outpatient surgery, with minimal morbidity, pain, and quick patient recovery. With continued refinement and surgeon experience, mini-slings potentially may be performed safely in the office setting under local anesthesia while maintaining the efficacy of traditional slings.
传统经耻骨后和经闭孔尿道中段吊带术是治疗压力性尿失禁的可靠、安全和有效的方法。然而，它们也与罕见但严重的并发症相关，如膀胱或肠穿孔、血管损伤、神经损伤和/或腹股沟肌肉疼痛，这些并发症可能是由于盲目通过套管针引起的。为了在避免这些并发症的同时保持疗效和患者满意度，已经开发了微创迷你吊带术。这些较小的迷你吊带可以通过阴道中段的单个切口放置，而无需使用套管针。迷你吊带术通常作为门诊手术进行，具有最小的发病率、疼痛和快速的患者康复。随着不断的改进和外科医生的经验积累，迷你吊带术有可能在局麻下安全地在办公室环境中进行，同时保持传统吊带术的疗效。
