经尿道中段吊带手术后排尿功能障碍的评估与处理
Evaluation and management of voiding dysfunction after midurethral sling procedures.
作者信息
Celik Hatice, Harmanlı Ozgür
机构信息
Department of Gynecology and Obstetrics, Tufts University School of Medicine, Baystate Medical Center, USA.
出版信息
J Turk Ger Gynecol Assoc. 2012 Jun 1;13(2):123-7. doi: 10.5152/jtgga.2012.14. eCollection 2012.
Abstract
Midurethral slings have become the most popular surgical procedure for the correction of stress urinary incontinence in women. Urinary retention or obstructive voiding symptoms may arise from partial urethral obstruction as a result of oversuspension of the urethra or exaggerated tension. Fortunately, most cases of voiding dysfunction are transient and resolve spontaneously within days. Clean intermittent self-catheterization is the mainstay of conservative treatment. If symptoms persist, tape mobilization, incision or urethrolysis may be performed. Recurrent stress urinary incontinence may occur in a small group of patients, who may benefit from another incontinence treatment.
摘要
中段尿道吊带术已成为治疗女性压力性尿失禁最常用的外科手术。由于尿道过度悬吊或张力过大导致部分尿道梗阻，可能会出现尿潴留或排尿梗阻症状。幸运的是，大多数排尿功能障碍病例是暂时的，几天内可自行缓解。清洁间歇性自我导尿是保守治疗的主要方法。如果症状持续，可进行吊带松动、切开或尿道松解术。一小部分患者可能会复发压力性尿失禁，这些患者可能会从另一种尿失禁治疗中获益。
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1
"J" cut of sling for postoperative voiding dysfunction following synthetic midurethral slings.
Int Urogynecol J. 2011 Aug;22(8):933-6. doi: 10.1007/s00192-011-1404-5. Epub 2011 Apr 2.
2
Predictors of Postoperative Voiding Dysfunction following Transobsturator Sling Procedures in Patients with Stress Urinary Incontinence.
Int Neurourol J. 2010 Apr;14(1):26-33. doi: 10.5213/inj.2010.14.1.26. Epub 2010 Apr 30.
3
Comparison of 2 techniques to predict voiding efficiency after inpatient urogynecologic surgery.
J Urol. 2010 Oct;184(4):1408-12. doi: 10.1016/j.juro.2010.05.096. Epub 2010 Aug 19.
4
Risk factors leading to midurethral sling revision: a multicenter case-control study.
Int Urogynecol J. 2010 Oct;21(10):1253-9. doi: 10.1007/s00192-010-1186-1. Epub 2010 Jun 15.
5
Retropubic versus transobturator midurethral slings for stress incontinence.
N Engl J Med. 2010 Jun 3;362(22):2066-76. doi: 10.1056/NEJMoa0912658. Epub 2010 May 17.
6
Update of AUA guideline on the surgical management of female stress urinary incontinence.
J Urol. 2010 May;183(5):1906-14. doi: 10.1016/j.juro.2010.02.2369. Epub 2010 Mar 29.
7
Pharmacologic management of urinary incontinence, voiding dysfunction, and overactive bladder.
Obstet Gynecol Clin North Am. 2009 Sep;36(3):493-507. doi: 10.1016/j.ogc.2009.08.001.
8
Behavioral treatment of urinary incontinence, voiding dysfunction, and overactive bladder.
Obstet Gynecol Clin North Am. 2009 Sep;36(3):475-91. doi: 10.1016/j.ogc.2009.08.005.
9
Minimally invasive synthetic suburethral sling operations for stress urinary incontinence in women.
Cochrane Database Syst Rev. 2009 Oct 7(4):CD006375. doi: 10.1002/14651858.CD006375.pub2.
10
The benefit of early mobilisation of tension-free vaginal tape in the treatment of post-operative voiding dysfunction.
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