Linder Brian J, Elliott Daniel S
Department of Urology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
Department of Urology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
Urol Clin North Am. 2019 Feb;46(1):17-30. doi: 10.1016/j.ucl.2018.08.013.
Synthetic midurethral sling placement is the most studied anti-incontinence procedure available. Multiple randomized trials demonstrate its safety and efficacy, with results out to 5 years. With long-term follow-up, it seems there may be some benefit in efficacy to retropubic sling placement compared with the transobturator approach. Single-incision slings are a newer modification to multi-incision sling placement, and the data regarding safety and efficacy are not as mature as other forms of sling placement. Complications may occur with mesh midurethral sling placement and surgeons performing these procedures should be comfortable with the diagnosis and management of these issues.
合成尿道中段吊带置入术是研究最多的抗尿失禁手术。多项随机试验证明了其安全性和有效性，随访结果长达5年。长期随访显示，与经闭孔途径相比，耻骨后吊带置入术在疗效上可能有一定优势。单切口吊带是多切口吊带置入术的一种新改良，其安全性和有效性的数据不如其他形式的吊带置入术成熟。网状尿道中段吊带置入术可能会出现并发症，实施这些手术的外科医生应熟悉这些问题的诊断和处理。
