Naumann G, Albrich S, Skala C, Laterza R, Kölbl H
Universitätsmedizin Mainz, Klinik und Poliklinik für Geburtshilfe und Frauenheilkunde, Mainz.
Geburtshilfe Frauenheilkd. 2012 Feb;72(2):125-131. doi: 10.1055/s-0031-1298275.
The new development of single-incision slings (SIS) for the treatment of female stress urinary incontinence offers comparable results with only minimal side effects and will find wide acceptance in modern incontinence surgery. This mini-sling is inserted over a single vaginal incision and fixed on both sides to the pelvic wall tissue with special anchors, without passing through the groin and avoiding a blind tape passage. Compared with the established sub-urethral tapes, there are comparable success rates with fewer complications. Randomised prospective studies are needed to evaluate whether, in the long run, the benefits of the single incision technique can be correlated with satisfying continence results.
用于治疗女性压力性尿失禁的单切口吊带(SIS)的新进展提供了相当的效果,且副作用极小,将在现代尿失禁手术中得到广泛应用。这种微型吊带通过单一阴道切口插入,并使用特殊锚钉固定在骨盆壁组织两侧,无需穿过腹股沟,避免了盲带通道。与已有的尿道下吊带相比,成功率相当,但并发症更少。需要进行随机前瞻性研究,以评估从长远来看,单切口技术的益处是否能与令人满意的控尿效果相关联。