Lee Dominic, Chang John, Zimmern Philippe E
Department of Urology, St George Hospital, Gray Street, Kogarah 2217, New South Wales, Australia.
Department of Urology, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-9110, USA.
Phys Med Rehabil Clin N Am. 2017 Aug;28(3):603-619. doi: 10.1016/j.pmr.2017.03.010. Epub 2017 May 27.
Female stress urinary incontinence and pelvic organ prolapse are prevalent conditions in adult women. Among treatment alternatives, more traditional methods of surgical intervention have been supplanted by synthetic polypropylene mesh kits. However, novel complications with mesh-related exposure, pelvic pain alone or with dyspareunia, and increased incidence of revision surgeries, resulted in 2 FDA warnings on transvaginal mesh use for prolapse repair. This review examines the anatomy of the vagina and urethra, the etiology of pain related to mesh use, and the relevant surgical techniques for management of this complication along with their outcomes.
女性压力性尿失禁和盆腔器官脱垂是成年女性中的常见病症。在治疗选择中，合成聚丙烯网片套件已取代了更传统的手术干预方法。然而，与网片相关的暴露、单独的盆腔疼痛或伴有性交困难以及翻修手术发生率增加等新并发症，导致美国食品药品监督管理局（FDA）两次就经阴道使用网片进行脱垂修复发出警告。本综述探讨了阴道和尿道的解剖结构、与使用网片相关的疼痛病因，以及处理该并发症的相关手术技术及其效果。
