Arrabal-Polo Miguel Ángel, Palao-Yago Francisco, Zuluaga-Gómez Armando, López-León Víctor M, Merino-Salas Sergio, Lahoz-García Clara, Arrabal-Martín Miguel
Department of Urology, San Cecilio University Hospital, Granada, Spain.
Urol Int. 2012;89(1):97-102. doi: 10.1159/000338643. Epub 2012 Jun 5.
The aim of our study was to retrospectively analyze surgical complications arising from the collocation of suburethral mesh in the lower urinary tract, using both the transobturator and retropubic methods.
During the period between November 2002 and June 2011, we retrospectively studied 190 patients that were treated for stress urinary incontinence using a tension-free suburethral sling. 50 patients were treated using the retropubic route (SPARC®), and 140 patients were treated using a transobturator (MONARC®).
In total, 16.57% of the patients presented with intraoperative, immediate postoperative or later postoperative complications. We observed a higher rate of complications with patients who were operated on retropubically (26%) than with patients who were operated on using the transobturator method (12%).
The rate of complications for our study was low, and was even lower in the case of transobturator tape. Thus, we usually used transobturator tape in the treatment of stress incontinence.
我们研究的目的是回顾性分析经闭孔和耻骨后途径在尿道下放置网片治疗下尿路疾病所引起的手术并发症。
在2002年11月至2011年6月期间，我们回顾性研究了190例采用无张力尿道下吊带治疗压力性尿失禁的患者。50例患者采用耻骨后途径（SPARC®）治疗，140例患者采用经闭孔途径（MONARC®）治疗。
总计16.57%的患者出现术中、术后即刻或术后晚期并发症。我们观察到，耻骨后手术患者的并发症发生率（26%）高于经闭孔手术患者（12%）。
我们研究中的并发症发生率较低，经闭孔吊带的情况更低。因此，我们通常采用经闭孔吊带治疗压力性尿失禁。
