Welk Blayne, Carlson Kevin V, Baverstock Richard J, Steele Stephen S, Bailly Gregory G, Hickling Duane R
Department of Surgery, Western University, London, ON; Canada.
Section of Urology, Department of Surgery, University of Calgary, Calgary, AB; Canada.
Can Urol Assoc J. 2017 Jun;11(6Suppl2):S105-S107. doi: 10.5489/cuaj.4579.
Stress incontinence (SUI) and pelvic organ prolapse (POP) are common conditions. There is high-level evidence that midurethral mesh slings for stress incontinence are effective and safe; however, the rare but serious potential risks of this surgery must be discussed with the patient. The use of transvaginal mesh for prolapse repair does not appear to be supported by the current evidence, and its use should be restricted to specialized pelvic floor surgeons and specific clinical situations.
压力性尿失禁（SUI）和盆腔器官脱垂（POP）是常见病症。有高级别证据表明，用于治疗压力性尿失禁的中段尿道网状吊带是有效且安全的；然而，必须与患者讨论该手术罕见但严重的潜在风险。目前的证据似乎并不支持使用经阴道网状物进行脱垂修复，其使用应限于专业的盆底外科医生和特定的临床情况。
