Green D F, McGuire E J, Lytton B
J Urol. 1986 Dec;136(6):1205-7.
Endoscopic suspension of the vesical neck has been reported to be as effective as anterior urethropexy in the treatment of female stress urinary incontinence. We compared our first 29 patients treated with endoscopic suspension of the vesical neck between 1982 and 1985 to our last 21 patients treated with anterior urethropexy between 1979 and 1985. Both groups were comparable in regard to age, parity, duration of symptoms and previous surgery for stress urinary incontinence. All patients underwent thorough preoperative urodynamic testing. Endoscopic suspension of the vesical neck successfully cured stress urinary incontinence in 26 patients (90 per cent), while anterior urethropexy resolved the incontinence in 20 (95 per cent). Of the 3 failures of endoscopic suspension 2 probably were related to technique or material failure. Hospitalization was reduced for endoscopic suspension versus anterior urethropexy (mean 4.04 versus 6.00 days, respectively). The most common complication after endoscopic suspension of the vesical neck was transient urinary retention (34 per cent). We conclude that endoscopic suspension of the vesical neck is an effective method to treat stress urinary incontinence, and that it also reduces hospital stay and postoperative recovery.
据报道，膀胱颈内镜悬吊术在治疗女性压力性尿失禁方面与前尿道悬吊术效果相当。我们将1982年至1985年间接受膀胱颈内镜悬吊术的首批29例患者与1979年至1985年间接受前尿道悬吊术的最后21例患者进行了比较。两组在年龄、产次、症状持续时间以及既往压力性尿失禁手术史方面具有可比性。所有患者均接受了全面的术前尿动力学检查。膀胱颈内镜悬吊术成功治愈了26例（90%）压力性尿失禁患者，而前尿道悬吊术使20例（95%）患者的尿失禁得到缓解。在膀胱颈内镜悬吊术的3例失败病例中，2例可能与技术或材料故障有关。与前尿道悬吊术相比，膀胱颈内镜悬吊术的住院时间缩短（分别为平均4.04天和6.00天）。膀胱颈内镜悬吊术后最常见的并发症是短暂性尿潴留（34%）。我们得出结论，膀胱颈内镜悬吊术是治疗压力性尿失禁的有效方法，并且还能缩短住院时间和术后恢复时间。
