Horbach N S, Blanco J S, Ostergard D R, Bent A E, Cornella J L
Department of Obstetrics and Gynecology, University of California, Irvine.
Obstet Gynecol. 1988 Apr;71(4):648-52.
One indication for suburethral sling procedures has been recurrent genuine stress incontinence after previous incontinence surgery. Patients with low urethral closure pressures (20 cm H2O or less) in association with genuine stress incontinence are at particular risk for failure of standard anti-incontinence procedures. Urodynamic evaluation was used to select 17 patients with genuine stress incontinence and low urethral closure pressures for surgical treatment with a sling procedure using polytetrafluoroethylene. The technique of the procedure, cure rate, and postoperative complications were assessed. An 85% subjective and objective cure rate was found on urodynamic testing three months postoperatively. Complications included wound seroma, urinary tract infection, and urinary retention.
耻骨后尿道悬吊术的一个适应证是既往尿失禁手术后复发的真性压力性尿失禁。伴有真性压力性尿失禁且尿道闭合压较低（20 cm H₂O或更低）的患者，接受标准抗尿失禁手术失败的风险尤其高。采用尿动力学评估来选择17例患有真性压力性尿失禁且尿道闭合压较低的患者，使用聚四氟乙烯吊带术进行手术治疗。对手术技术、治愈率和术后并发症进行了评估。术后三个月进行尿动力学检查时发现主观和客观治愈率为85%。并发症包括伤口血清肿、尿路感染和尿潴留。
