Woodside J R
J Urol. 1984 Nov;132(5):940-2. doi: 10.1016/s0022-5347(17)49956-3.
Suprapubic endoscopic suspension of the vesical neck is a popular and effective procedure for the treatment of stress urinary incontinence in women. A woman who suffered a traumatic cauda equina injury had areflexic detrusor dysfunction with normal intravesical filling pressure. The patient had moderate proximal urethral dysfunction resulting in incontinence despite an adequate intermittent self-catheterization regimen and treatment with an alpha-sympathomimetic drug. Following suprapubic endoscopic vesical neck suspension she has remained totally continent on intermittent self-catheterization.
耻骨上膀胱颈内镜下悬吊术是治疗女性压力性尿失禁的一种常用且有效的手术方法。一名患有马尾神经损伤的女性存在逼尿肌无反射性功能障碍,膀胱内充盈压正常。尽管患者有足够的间歇性自我导尿方案并使用了α - 拟交感神经药物治疗,但仍因近端尿道功能中度障碍而出现尿失禁。耻骨上膀胱颈内镜下悬吊术后,她在间歇性自我导尿的情况下一直保持完全控尿。