Foster M C, O'Reilly P H
Department of Urology, Stepping Hill Hospital, Stockport.
Br J Urol. 1989 Dec;64(6):590-3. doi: 10.1111/j.1464-410x.1989.tb05315.x.
A series of 20 women with stress urinary incontinence underwent bladder neck suspension according to the method in which there are no suprapubic or vaginal incisions and no buttresses. Follow-up was between 9 weeks and 8 months. Twelve patients (60%) were cured, 2 (10%) were significantly improved and 6 (30%) were not improved; 3 patients had pre-operative detrusor instability; when they were excluded the failure rate fell to 23%. These results are inferior to those obtained in this unit using the Stamey procedure, although the difference is not significant. The operation is quick and easy to perform and was well tolerated with minimal complications; we believe it is worthy of further evaluation.
20例压力性尿失禁女性患者按照无耻骨上或阴道切口且无支撑物的方法接受了膀胱颈悬吊术。随访时间为9周零8个月。12例患者(60%)治愈,2例(10%)显著改善,6例(30%)无改善;3例患者术前存在逼尿肌不稳定;将他们排除后,失败率降至23%。尽管差异不显著,但这些结果不如本单位采用斯坦梅手术获得的结果。该手术操作快速且容易,耐受性良好,并发症极少;我们认为值得进一步评估。