Zacharin R F
Obstet Gynecol. 1977 Jul;50(1):1-8.
The most important factors in the management of recurrent stress incontinence in the absence of genital prolapse are proper case selection and the proper choice of surgical intervention. All suitable patients at the Alfred Hospital, Melbourne, since 1965 have been managed by the technic of abdominoperineal urethral suspension, which involves passing two aponeurotic bands, cut from the anterior abdominal wall, through the paraurethral attachment of the posterior pubourethral ligament on either side. It is our conviction that urinary continence control in the human female is effected by this upper urethral anatomy and that for a technic to be successful it must exert its influence at this precise point. It is suggested that this technic is the procedure of choice in the management of recurrent stress incontinence.
在不存在生殖器脱垂的情况下，复发性压力性尿失禁管理中最重要的因素是恰当的病例选择和手术干预的恰当选择。自1965年以来，墨尔本阿尔弗雷德医院的所有合适患者均采用腹会阴尿道悬吊技术进行治疗，该技术包括从腹前壁切取两条腱膜带，穿过两侧耻骨后尿道韧带尿道旁附着处。我们深信，人类女性的尿失禁控制是由这种尿道上部解剖结构实现的，并且一种技术要取得成功，必须在这个精确位置发挥作用。有人认为，这种技术是复发性压力性尿失禁管理中的首选方法。
