Diaz D L, Fox B M, Walzak M P, Nieh P T
Urology. 1984 Oct;24(4):321-3. doi: 10.1016/0090-4295(84)90200-0.
Thirty-one patients with stress urinary incontinence were treated with the optical vesicourethropexy. Of these patients, 70.9 per cent had previous pelvic or vaginal operations, of which 59 per cent also had failed stress incontinence procedures. In 90 per cent of the cases, cure or improvement was obtained. However, the procedure is not free of complications (38%). Aside from the problems reported by others, vaginal bleeding or discomfort due to erosion of the mucosa by the Dacron pledget was observed. We also had a case complicated by an obstruction of the small bowel secondary to fixation of a jejunal loop to the retropubic area. We believe that excellent results may be obtained with this technique in patients with previous pelvic surgery or concomitant medical problems. Remarks in the evaluation of these patients and technical aspects of the procedure are presented.
31例压力性尿失禁患者接受了光学膀胱尿道固定术治疗。在这些患者中，70.9%曾接受过盆腔或阴道手术，其中59%的压力性尿失禁治疗也失败了。90%的病例获得了治愈或改善。然而，该手术并非没有并发症（38%）。除了其他人报告的问题外，还观察到因涤纶棉垫侵蚀黏膜导致的阴道出血或不适。我们还遇到1例因空肠袢固定于耻骨后区域继发小肠梗阻的病例。我们认为，对于既往有盆腔手术史或伴有内科问题的患者，采用该技术可能会取得优异的效果。本文介绍了对这些患者的评估意见以及该手术的技术要点。
