Fowler J E
Surg Gynecol Obstet. 1986 May;162(5):437-41.
The morbidity and efficacy of suprapubic vesicourethral suspension and endoscopic suspension of the vesical neck for correction of stress urinary incontinence in females were analyzed. Between 1974 and 1981, 41 women were treated with the former procedure and between 1981 and 1984, 50 were treated with the latter. The two treatment groups were well matched with respect to age, duration of incontinence, grade of incontinence, previous unsuccessful anti-incontinence surgical procedures and experience of the operating surgeon. The incidences of excessive intraoperative blood loss, postoperative abdominal complications and late complications in the suprapubic suspension group were 7, 14 and 2 per cent, respectively, and in the endoscopic suspension group, zero, zero and 2 per cent, respectively. The mean duration of postoperative hospitalization in the suprapubic suspension and the endosocpic suspension groups were 9.4 and 6.9 days, respectively. Seventy-three per cent of the patients treated by suprapubic suspension (mean duration of follow-up 71 months) and 86 per cent of the patients treated by endoscopic suspension (mean duration of follow-up 19 months) were cured. We conclude that the morbidity of endoscopic suspension is less than that of suprapubic suspension and that the early results of endoscopic suspension are equivalent.
分析了耻骨上膀胱尿道悬吊术和膀胱颈内镜悬吊术治疗女性压力性尿失禁的发病率及疗效。1974年至1981年期间，41名女性接受了前一种手术治疗，1981年至1984年期间，50名女性接受了后一种手术治疗。两个治疗组在年龄、失禁持续时间、失禁程度、既往抗失禁手术失败情况以及手术医生经验方面匹配良好。耻骨上悬吊组术中失血过多、术后腹部并发症和晚期并发症的发生率分别为7%、14%和2%，而内镜悬吊组分别为0%、0%和2%。耻骨上悬吊组和内镜悬吊组术后平均住院时间分别为9.4天和6.9天。接受耻骨上悬吊术治疗的患者中有73%（平均随访时间71个月）和接受内镜悬吊术治疗的患者中有86%（平均随访时间19个月）治愈。我们得出结论，内镜悬吊术的发病率低于耻骨上悬吊术，且内镜悬吊术的早期效果相当。
