Shepherd Jonathan P, Rapkin Rachel B, Zyczynski Halina M
Department of Obstetrics, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Female Pelvic Med Reconstr Surg. 2012 Mar-Apr;18(2):132-3. doi: 10.1097/SPV.0b013e31824824ff.
Transobturator midurethral slings were introduced to avoid retropubic complications such as bladder, urethra, bowel, and major vessel injuries. However, complications are not completely eliminated. We present a urethral injury presenting with urge predominant mixed incontinence. The sling was removed transvaginally. Urethral injuries are now less common than they originally were owing to advances in operative technique and product innovation. However, it is incumbent on physicians to evaluate product characteristics that may affect outcomes in their patients. We further reiterate that thorough cystoscopy with urethroscopy is an essential step when performing transobturator midurethral slings.
经闭孔尿道中段吊带术被引入以避免耻骨后并发症，如膀胱、尿道、肠道和大血管损伤。然而，并发症并未完全消除。我们报告一例以急迫性为主的混合性尿失禁为表现的尿道损伤。吊带经阴道取出。由于手术技术的进步和产品创新，尿道损伤现在比以前少见了。然而，医生有责任评估可能影响患者治疗结果的产品特性。我们进一步重申，在进行经闭孔尿道中段吊带术时，彻底的膀胱镜检查和尿道镜检查是必不可少的步骤。
