Dönmez Emin Erhan, Kılıç Mustafa Oğuzhan, Vural Fisun
Clinic of Gynecologic Oncology, Koç University Hospital, İstanbul, Turkey.
Clinic of Obstetrics and Gynecology, University of Health Sciences Turkey, Haydarpaşa Numune Training and Research Hospital, İstanbul, Turkey.
J Turk Ger Gynecol Assoc. 2024 Dec 10;25(4):277-279. doi: 10.4274/jtgga.galenos.2023.2022-12-17.
Stress urinary incontinence (SUI) is a fairly common disease among women. Synthetic meshes are frequently used in midurethral sling procedures due to the high long-term success rates. Because of the publications about vaginal mesh complications in recent years, urogynecologists are turning to techniques without mesh. The purpose of this video is to show that SUI can be treated without mesh complications by utilizing the meshless urethropexy technique. A 50-year-old woman applied to our urogynecology department with complaints of incontinence. Physical examination, stress test, Q-tip test, urine test and transperineal ultrasound performed. Post-void residual urine measured. The patient completed incontinence questionnaires: urogenital distress inventory-6, incontinence impact questionnaire-7. After discussing results SUI was diagnosed. Treatment options were offered to the patient. Due to mesh complications concern the patient preferred this approach and underwent urethropexy. The steps of meshless urethropexy technique was demonstrated in this video. SUI can be treated with this approach without worrying about mesh complications, but long-term results are needed.
压力性尿失禁（SUI）在女性中是一种相当常见的疾病。由于长期成功率高，合成网片常用于中段尿道吊带手术。近年来，由于有关阴道网片并发症的报道，泌尿妇科医生开始转向无网片技术。本视频的目的是展示通过使用无网片尿道悬吊术可以治疗SUI且无网片并发症。一名50岁女性因尿失禁主诉前来我院泌尿妇科就诊。进行了体格检查、压力试验、棉签试验、尿液检查和经会阴超声检查。测量了排尿后残余尿量。患者完成了尿失禁问卷：泌尿生殖系统困扰量表-6、尿失禁影响问卷-7。在讨论结果后诊断为SUI。向患者提供了治疗选择。由于担心网片并发症，患者选择了这种方法并接受了尿道悬吊术。本视频展示了无网片尿道悬吊术的步骤。采用这种方法可以治疗SUI而不用担心网片并发症，但需要长期结果。
