Shah Nima M, Hall Cynthia D
From the *Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Drexel University College of Medicine, Philadelphia, PA and †Female Pelvic Medicine and Reconstructive Surgery, UMass Memorial Medical Center, Worcester, MA.
Female Pelvic Med Reconstr Surg. 2016 Jul-Aug;22(4):287-9. doi: 10.1097/SPV.0000000000000288.
Midurethral slings are an effective treatment method for stress urinary incontinence (SUI). Although success rates can be as high as 90%, the remaining patients with disappointing results may require further surgical intervention. In particular, those patients with persistent SUI may need further revision of the existing sling. Literature is limited in the optimal treatment of these patients.
Five patients who underwent midurethral slings for SUI and had subsequent sling revision were included in this analysis. The technique of revision is outlined in this article. Subsequently, these patients had greatly improved continence.
Our patients did benefit from this method of sling revision. Further information on sling revisions with increased patient populations would allow us to make appropriate recommendations.
中段尿道吊带术是治疗压力性尿失禁（SUI）的一种有效方法。尽管成功率可达90%，但其余治疗效果不佳的患者可能需要进一步的手术干预。特别是那些持续性压力性尿失禁患者可能需要对现有的吊带进行进一步修复。关于这些患者的最佳治疗方法，相关文献有限。
本分析纳入了5例接受中段尿道吊带术治疗压力性尿失禁且随后进行吊带修复的患者。本文概述了修复技术。随后，这些患者的尿失禁情况有了显著改善。
我们的患者确实从这种吊带修复方法中获益。随着患者数量增加，关于吊带修复的更多信息将使我们能够提出适当的建议。
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