Morgan J E, Farrow G A, Stewart F E
Am J Obstet Gynecol. 1985 Jan 15;151(2):224-6. doi: 10.1016/0002-9378(85)90017-1.
Between 1968 and 1983, 281 patients with recurrent stress urinary incontinence and nine patients with primary stress urinary incontinence were treated with a two-team (suprapubic vaginal) Marlex urethral sling operation. Selection was based on the patient's history and the clinical demonstration of an anatomic defect in the closure mechanism of the urethra. The operative technique as described in 1970 remains unchanged. The bladder neck is released from the scar and replaced in a midretropubic position on a hammock of Marlex mesh attached to Cooper's ligaments. Patients with a sloughed urethra had a sling operation in conjunction with the reconstruction of a neourethra. The overall success rate based on a minimum 5-year follow-up of 208 patients was 77.4%. There was a high failure rate in the sloughed urethra group. Significant overall complications include bladder neck obstruction and chronic cystitis.
1968年至1983年间，281例复发性压力性尿失禁患者和9例原发性压力性尿失禁患者接受了双组（耻骨上阴道）Marlex尿道悬带手术治疗。选择依据患者病史以及尿道闭合机制解剖缺陷的临床证明。1970年所描述的手术技术保持不变。膀胱颈从瘢痕处游离出来，并置于附着于库珀韧带的Marlex网片吊床上的耻骨后中位。尿道脱落的患者在进行新尿道重建的同时接受悬带手术。对208例患者进行至少5年的随访，总体成功率为77.4%。尿道脱落组的失败率较高。主要的总体并发症包括膀胱颈梗阻和慢性膀胱炎。
