Mazeman E, Wemeau L, Biserte J, Vaillant J M
J Chir (Paris). 1978 Aug-Sep;115(8-9):431-6.
Among the large number of technics proposed to cure effort urinary incontinence in women, two types of operation are usually considered: --indirect cervico-cystopexy or colopexy (Marshall-Marchietti-Krantz operation or its derivatives); --operations of catapult type or suspension of the bladder neck, e.g. Goebell-Stoeckel's operation. The latter was chosen exclusively by us over the last ten years. We have thus grouped together 85 cases of effort urinary incontinence operated and followed up for a period of 1 to 11 years. At five years, this operation gave 82.85% good results and a delay of two years seemed to us the minimum necessary to assess these results. We noted 6 failures (7.05%) and 4 relapses (4.7%). Suspension of the bladder neck is often disputed and even denigrated. Some authors consider it is the best operation available especially in cases of relapse of effort incontinence [21]. Its technical difficulty has been reproached. Our objective thus double: --describe our technic of musculo-aponeurotic suspension of the bladder neck; --give our results emphasising the long term results. We thus hope to prove that this operation maintains its place in the treatment of effort incontinence.
在为治疗女性压力性尿失禁而提出的大量技术中，通常考虑两种手术类型：——间接宫颈膀胱固定术或结肠固定术（马歇尔-马凯蒂-克兰茨手术或其衍生术式）；——弹射式手术或膀胱颈悬吊术，例如戈贝尔-施托克手术。在过去十年中，我们只选择了后者。我们将85例接受手术治疗且随访1至11年的压力性尿失禁病例归为一组。五年时，该手术的良好效果率为82.85%，我们认为两年的延迟是评估这些结果所需的最短时间。我们记录到6例失败（7.05%）和4例复发（4.7%）。膀胱颈悬吊术经常受到争议甚至诋毁。一些作者认为这是现有的最佳手术，尤其是在压力性尿失禁复发的情况下[21]。其技术难度受到指责。因此我们的目标有两个：——描述我们的膀胱颈肌肉-腱膜悬吊技术；——给出我们的结果，重点强调长期结果。因此我们希望证明该手术在压力性尿失禁的治疗中仍占有一席之地。
