Steffens J, Steffens L, Kranz A
Urologe A. 1987 May;26(3):146-51.
We report on 183 patients with urinary stress incontinence treated with bladder-neck suspension plasty according to Zoedler from 1972-1982 using the conventional nylon sling. 86.1% of the patients were continent postoperatively. Long term follow-up to 10 years however showed a continuous decrease of success rate in the first 2 postoperative years (74.9% in the 1st, 67.2% in the 2nd year). From the 3rd postoperative year there was a stable continence-rate of 50.7%. As the significant increase of incontinence relapse is due to enzymatic destruction of the nylon sling--first described in ophtalmology--we developed a new form-stable and radiopaque polyester sling. Since 1983 we implanted this new sling in 40 patients. Long term results of the conventional Zoedler procedure and first results of a modified method using the new polyester sling are discussed.
我们报告了1972年至1982年期间，按照策德勒方法使用传统尼龙吊带对183例压力性尿失禁患者进行膀胱颈悬吊成形术的情况。术后86.1%的患者实现了控尿。然而，长达10年的长期随访显示，术后头两年成功率持续下降（第1年为74.9%，第2年为67.2%）。从术后第3年起，控尿率稳定在50.7%。由于尿失禁复发显著增加是由于尼龙吊带的酶促破坏——这在眼科首次被描述——我们研发了一种新型的形状稳定且不透射线的聚酯吊带。自1983年以来，我们已在40例患者中植入了这种新吊带。本文讨论了传统策德勒手术的长期结果以及使用新型聚酯吊带的改良方法的初步结果。
