Blewniewski Mariusz, Markowski Michał, Kliś Rafał, Różański Waldemar
2 Department of Urology, Medical University of Łódź, Poland.
Cent European J Urol. 2015;68(1):68-71. doi: 10.5173/ceju.2015.01.384. Epub 2015 Mar 13.
Stress urinary incontinence (SUI) is a social disease caused by numerous contributing factors such as natural childbirth, obesity, hormonal deficiencies and changes in collagen fibers, to name a few. Currently, mini-slings, among all the surgical treatment methods, have gained significance. The aim of this study was to establish the effectiveness of this method.
From 2008 to 2012, one hundred sixty women suffering from SUI underwent surgical procedures to implant mini-slings under the middle part of the urethra and 140 (87.5%) of them remained under observation. In 65 cases, Johnson & Johnson's TVT-Secur was used; in 70 cases, BARD's Adjust mini-sling was used; and in 5 cases, AMS Mini-Arc mini-sling was used. The average period of hospitalization was 3 days per admission, operation and discharge day.
In 82 cases, patients urinated well after the removal of the catheter, and had full urine continence. Fourteen patients showed great improvement, and in four cases temporary urine retention was observed. In two cases vaginal bleeding was observed, yet there was no need for wound revision. Evaluation of the 'quality of life improvement' was done using the Visual Analog Scale (VAS).
The obtained results allowed the conclusion that the implantation of mini-slings is a low invasive, relatively safe and effective procedure for the treatment of SUI even in cases of recurrence. Almost full recovery was achieved in all the cases of this study. The mini-sling has become an important element in modern urogynecology.
压力性尿失禁（SUI）是一种由多种因素引起的社会性疾病，如自然分娩、肥胖、激素缺乏以及胶原纤维变化等。目前，在所有手术治疗方法中，迷你吊带已变得至关重要。本研究的目的是确定该方法的有效性。
2008年至2012年，160例压力性尿失禁女性接受了在尿道中部植入迷你吊带的手术，其中140例（87.5%）接受了观察。65例使用了强生公司的TVT-Secur；70例使用了巴德公司的Adjust迷你吊带；5例使用了AMS Mini-Arc迷你吊带。每次入院、手术及出院日的平均住院时间为3天。
82例患者拔除导尿管后排尿良好，完全控尿。14例患者有显著改善，4例观察到暂时性尿潴留。2例观察到阴道出血，但无需伤口修复。使用视觉模拟量表（VAS）对“生活质量改善情况”进行评估。
所得结果表明，即使在复发情况下，植入迷你吊带也是一种低侵入性、相对安全且有效的压力性尿失禁治疗方法。本研究所有病例几乎均实现了完全康复。迷你吊带已成为现代女性盆底重建外科学中的一个重要元素。
