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[内镜控制下经皮膀胱颈固定术治疗压力性尿失禁]

[Percutaneous fixation of the bladder neck under endoscopic control in the treatment of stress urinary incontinence].

作者信息

Benjelloun S, Meziane F, el Mrini M, Bennani S

机构信息

Service d'Urologie, CHU Ibnou-Rochd, Casablanca, Maroc.

出版信息

J Urol (Paris). 1990;96(6):327-33.

PMID:2280087
Abstract

After reviewing the technique of the endoscopic suspension of the vesical neck, the authors report their experience about the use of paravaginal tissue from either side of the bladder neck to treat female stress incontinence. The authors operated upon 20 female patients with clinically demonstrable stress incontinence of mine between January 1985 and June 1989. With periods of follow up of 6 to 53 months, the results are good in 91% of cases. The characteristics of this procedure are emphasised. It is quick, simple, allowing an easy access even though for multi-operated and fat patients, with possibility of simultaneous treatment of an associated cystocele or rectocele. The post-operative morbidity and the tissular lesions are minimal. Thus, the post-operative hospital stay could be reduced and an eventual second intervention easy. The simplicity of this procedure and the good functional results make the authors indicate it in all urinary stress incontinence.

摘要

在回顾膀胱颈内镜悬吊技术后,作者报告了他们使用膀胱颈两侧阴道旁组织治疗女性压力性尿失禁的经验。作者于1985年1月至1989年6月期间对20例临床上可证实为压力性尿失禁的女性患者进行了手术。随访时间为6至53个月,91%的病例结果良好。强调了该手术的特点。它快速、简单,即使对于多次手术和肥胖患者也易于操作,有可能同时治疗相关的膀胱膨出或直肠膨出。术后发病率和组织损伤最小。因此,可以缩短术后住院时间,并且最终进行二次干预也很容易。该手术的简单性和良好的功能结果使作者在所有尿失禁病例中都推荐使用。

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