Araki T, Takamoto H, Hara T, Fujimoto H, Yoshida M, Katayama Y
Department of Urology, Kurashiki and Tamano Municipal Hospital, Japan.
J Urol. 1990 Aug;144(2 Pt 1):319-22; discussion 322-3. doi: 10.1016/s0022-5347(17)39443-0.
A main complication of an anti-stress urinary incontinence operation in women is postoperative urinary retention or difficulty in urination caused by the urethrovesical junction being suspended too tightly. A total of 7 women who complained of the complication after a modified Stamey operation underwent our procedure in which the suspension loops were loosened to an adequate tension with the patient under local anesthesia. All patients recovered normal voiding without incontinence immediately after the procedure. The Stamey operation uses a nylon loop for suspension of the urethrovesical junction. Therefore, the tightness of the suspension loop can easily be readjusted postoperatively by the procedure, even though initially the suspension of the urethrovesical junction was too tight or too loose. We believe the procedure will enhance the value of the Stamey operation.
女性抗压力性尿失禁手术的一个主要并发症是术后尿潴留或因尿道膀胱交界处悬吊过紧导致排尿困难。共有7名女性在改良的斯塔梅手术（Stamey operation）后出现了这种并发症，她们接受了我们的手术，即在局部麻醉下将悬吊环松开至适当张力。所有患者术后立即恢复正常排尿且无尿失禁。斯塔梅手术使用尼龙环悬吊尿道膀胱交界处。因此，即使最初尿道膀胱交界处的悬吊过紧或过松，术后也可通过该手术轻松重新调整悬吊环的松紧度。我们认为该手术将提高斯塔梅手术的价值。
