Schaeffer A J, Stamey T A
Urology. 1984 May;23(5):484-94. doi: 10.1016/s0090-4295(84)80012-6.
Surgically curable urinary incontinence in women is achieved by restoration of the vesical neck from a dependent position in the pelvis to one high behind the symphysis pubis. Endoscopic suspension, which accomplishes this by elevating the internal vesical neck on both sides with two permanent buttressed nylon loops is effective for correcting primary or recurrent stress urinary incontinence and even total incontinence in over 90 per cent of patients. Technical advantages over retropubic vesical neck suspensions include less postoperative morbidity, functional measurements and anatomic visualization of a restored vesical neck during the procedure, easy access to the surgically difficult pelvis, and simultaneous repair of significant rectoceles or substantial cystoceles through the same operative field.
通过将膀胱颈从盆腔内的下垂位置恢复到耻骨联合后方较高位置，可实现女性手术可治愈的尿失禁。内镜下悬吊术通过用两个永久性支撑尼龙环提升膀胱颈两侧来实现这一目的，对于纠正原发性或复发性压力性尿失禁甚至完全性尿失禁，在超过90%的患者中是有效的。与耻骨后膀胱颈悬吊术相比，其技术优势包括术后发病率较低、术中对恢复的膀胱颈进行功能测量和解剖可视化、易于进入手术难度较大的盆腔，以及通过同一手术视野同时修复明显的直肠膨出或较大的膀胱膨出。
