Bayrak Ömer, Osborn David, Reynolds William Stuart, Dmochowski Roger Roman
Department of Urology, Gaziantep University Faculty of Medicine, Gaziantep, Turkey.
Department of Urology, Vanderbilt University, Nashville, USA.
Turk J Urol. 2014 Dec;40(4):233-9. doi: 10.5152/tud.2014.57778.
Stress urinary incontinence (SUI) is the most common type of urinary incontinence, and approximately 200 different methods have been described for its surgical management. A better understanding of the pathophysiology of SUI has led to the development of surgical therapies focused on creating a strong suburethral supportive layer and urethral resistance. The most important advantage of the pubovaginal sling (PVS) procedure is that it restores urethral resistance during stress maneuvers to prevent incontinence, while improving urethral coaptation at rest and allowing for spontaneous micturition. Various autologous, allograft, xenograft and synthetic materials have been used for the PVS. The autologous PVS procedure for the treatment of SUI offers the highest success rate and is the most commonly used PVS surgical method. Unlike xenograft and allograft materials, the autologous procedure does not result in a tissue reaction and is associated with a low rate of material-related complications.
压力性尿失禁（SUI）是最常见的尿失禁类型，针对其手术治疗已描述了约200种不同方法。对SUI病理生理学的更好理解促使了专注于创建强大尿道下支持层和尿道阻力的手术疗法的发展。耻骨后阴道吊带术（PVS）最重要的优势在于，它在压力动作期间恢复尿道阻力以防止失禁，同时改善静息时的尿道贴合，并允许自主排尿。各种自体、同种异体移植、异种移植和合成材料已用于PVS。用于治疗SUI的自体PVS手术成功率最高，是最常用的PVS手术方法。与异种移植和同种异体移植材料不同，自体手术不会导致组织反应，且与材料相关并发症的发生率较低。
