Hengel A Ross, Carlson Kevin V, Baverstock Richard J
Faculty of Medicine, University of British Columbia, Prince George, BC; Canada.
Section of Urology, Department of Surgery, University of Calgary, Calgary, AB; Canada.
Can Urol Assoc J. 2017 Jun;11(6Suppl2):S135-S140. doi: 10.5489/cuaj.4639.
Midurethral slings (MUS) are a proven effective treatment option for stress urinary incontinence (SUI) and have become the gold standard in most centres in North America. MUS implantation can be associated with risks that are common to all anti-incontinence surgeries, and others which are unique. This article reviews the intraoperative and the early and late postoperative risks associated with these procedures, with insights into their prevention, diagnosis, and management drawn from the literature and expert opinion. In most cases, careful patient counselling before and after surgery, along with meticulous surgical technique, can mitigate risk and patient concern. Even in the best of hands, however, complications will occur, so surgeons must have a high index of suspicion and a low threshold to investigate.
中段尿道吊带术（MUS）是治疗压力性尿失禁（SUI）的一种经证实有效的方法，已成为北美大多数中心的金标准。MUS植入可能会伴随所有抗尿失禁手术共有的风险以及其他一些独特的风险。本文回顾了与这些手术相关的术中、术后早期和晚期风险，并从文献和专家意见中汲取了有关其预防、诊断和管理的见解。在大多数情况下，术前和术后对患者进行仔细的咨询，以及细致的手术技巧，可以降低风险并减轻患者的担忧。然而，即使在技术最娴熟的医生手中，并发症仍会发生，因此外科医生必须保持高度的怀疑指数，并降低调查的门槛。
