Kirby Anna C, Nager Charles W
UC San Diego Health Care System, Division of Urogynecology, Department of Reproductive Medicine, La Jolla, California, USA.
Clin Obstet Gynecol. 2013 Jun;56(2):257-75. doi: 10.1097/GRF.0b013e31828563d2.
The most commonly performed surgeries for stress urinary incontinence are full-length mesh midurethral slings. This chapter will review the indications, contraindications, and complications related to the use of these mesh midurethral slings. Unlike transvaginal mesh for prolapse, complications related to mesh midurethral slings are low and less than the complication rates with previous traditional continence surgeries. Given their safety profile and efficacy, full-length mesh midurethral slings have been rapidly adopted and remain the current standard of care for stress urinary incontinence surgical treatment.
压力性尿失禁最常施行的手术是全长度网片尿道中段吊带术。本章将回顾与使用这些网片尿道中段吊带相关的适应证、禁忌证和并发症。与用于盆腔器官脱垂的经阴道网片不同,与网片尿道中段吊带相关的并发症较少,且低于以往传统尿失禁手术的并发症发生率。鉴于其安全性和有效性,全长度网片尿道中段吊带已被迅速采用,仍然是压力性尿失禁手术治疗的当前标准术式。