Hara M, Akimoto M, Yoshida K, Abe H, Ohhara M, Hattori T, Yamada K, Nakajima H, Yajima I, Fujioka Y
Department of Urology, Nippon Medical School.
Hinyokika Kiyo. 1989 Nov;35(11):1859-63.
Thirteen operations of endoscopic bladder neck suspension (Raz method) were performed for 12 patients with stress incontinence between October, 1986 and August, 1988. In all patients, except for one with small bladder capacity, the operations were successful. Disappearance of incontinence was maintained in 10 patients 5-27 months (mean 15.3 months) after the operation, and the success rate of this operation was 77% (10/13) at this follow up point. The operative technique was easy except for the adjustment of pulling up strength of the thread for suspension. We believe that the endoscopic needle bladder neck suspension will be performed more widely because this operation can be done safely in a short time without major complications and can produce very good results.
1986年10月至1988年8月期间,对12例压力性尿失禁患者实施了13例内镜下膀胱颈悬吊术(Raz法)。除1例膀胱容量小的患者外,所有患者手术均成功。10例患者术后5至27个月(平均15.3个月)尿失禁消失,此次随访时该手术成功率为77%(10/13)。除了调整悬吊线的提拉强度外,手术操作简便。我们认为内镜下针式膀胱颈悬吊术将得到更广泛应用,因为该手术可在短时间内安全完成,无重大并发症,且效果良好。