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女性盆底肌肉功能障碍的新型微创治疗方法;超越传统。

The Novel and Minimally Invasive Treatment Modalities for Female Pelvic Floor Muscle Dysfunction; Beyond the Traditional.

机构信息

Department of Urology, İzmir Katip Çelebi University School of Medicine, İzmir, Turkey

Clinic of Urology, Mid Yorkshire Hospitals NHS Trust, Wakefield, The United Kingdom

出版信息

Balkan Med J. 2018 Sep 21;35(5):358-366. doi: 10.4274/balkanmedj.2018.0869. Epub 2018 Jun 28.

Abstract

Pelvic floor dysfunction is a clinical entity that is prevalent among female patients. Determining the exact underlying cause of pelvic floor dysfunction is difficult, and surgical intervention for this clinical entity may be challenging. Pelvic floor dysfunction can affect the quality of life of the patient by causing stress urinary incontinence, pelvic organ prolapse, or both. Well-defined surgical treatment options, minimally invasive approaches, and novel techniques for the treatment of pelvic floor dysfunction have been recently introduced. Here, we evaluated the management options available for patients with stress urinary incontinence and pelvic organ prolapse. We searched Medline and EMBASE databases for relevant articles by using the keywords “pelvic floor dysfunction,” “minimally invasive procedures,” “stress urinary incontinence,” “pelvic organ prolapse,” and “novel techniques”. Traditional treatment options for stress urinary incontinence and pelvic organ prolapse are beyond the scope of our review. Laparoscopic and robotic surgical treatments for pelvic floor dysfunction continue to evolve and develop. These minimally invasive techniques will soon replace open procedures. Alternative novel treatment modalities have also been developed from novel human-compatible materials and are emerging as successful treatments for stress urinary incontinence. The development of these various treatment options has implications for future surgical practice in the field of uro-gynecology.

摘要

盆底功能障碍是一种常见于女性患者的临床病症。确定盆底功能障碍的确切根本原因具有一定难度,且针对该临床病症的手术干预可能具有挑战性。盆底功能障碍可能导致压力性尿失禁、盆腔器官脱垂或两者兼而有之,从而影响患者的生活质量。目前,已提出一些明确的手术治疗选择、微创方法和治疗盆底功能障碍的新技术。在这里,我们评估了用于治疗压力性尿失禁和盆腔器官脱垂患者的各种管理选择。我们通过使用“盆底功能障碍”“微创程序”“压力性尿失禁”“盆腔器官脱垂”和“新技术”等关键词在 Medline 和 EMBASE 数据库中搜索了相关文章。压力性尿失禁和盆腔器官脱垂的传统治疗方法不在本综述的范围内。腹腔镜和机器人手术治疗盆底功能障碍仍在不断发展和进步。这些微创手术技术将很快取代开放性手术。还开发了替代的新型治疗方法,这些方法源自新型与人兼容的材料,并且已成为治疗压力性尿失禁的有效方法。这些各种治疗选择的发展对泌尿妇科领域未来的手术实践具有重要意义。

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