Biggers R D
Urology. 1987 Mar;29(3):268-70. doi: 10.1016/0090-4295(87)90068-9.
In a preliminary study of 32 women with stress urinary incontinence, a modification was added to the standard suprapubic urethropexy to decrease the incidence of postoperative urinary retention. Immediately before the elevating sutures are tied, a urethroscope is inserted into the midurethra and the bladder neck is visualized while the sutures are being tied with just enough tension to close the bladder neck. This resulted in a 100 per cent continence rate at twenty-four months and an average catheter time of 6.2 days, with 69 per cent of the patients voiding easily on the fourth postoperative day. This has resulted in a significant improvement over the length of catheter time when the urethroscope is not used, and additionally provides good experience and immediate feedback in a teaching situation for accuracy of suture placement and adequacy of bladder neck closure.
在一项针对32名压力性尿失禁女性的初步研究中，对标准耻骨上尿道悬吊术进行了改良，以降低术后尿潴留的发生率。在即将结扎抬高缝线之前，将尿道镜插入尿道中部，在结扎缝线时观察膀胱颈，结扎张力要刚好足以关闭膀胱颈。这使得24个月时的控尿率达到100%，平均导尿时间为6.2天，69%的患者在术后第四天即可轻松排尿。与不使用尿道镜时的导尿时间相比，这有了显著改善，此外，在教学过程中，它还能为缝线放置的准确性和膀胱颈关闭的充分性提供良好的体验和即时反馈。
