Serrate R, Gutiérrez R, Rius G, Prats J, Wahab A, Regué R
Servicio de Urología, Clínica Sagrada Familia, Barcelona.
Actas Urol Esp. 1995 Jan;19(1):27-31.
To correct urine incontinence at minimal exertion in woman, most especially in those who have undergone unsuccessful vaginal techniques, we advice the aponeurotic suspension of the vesical cervix, with anchorage, in fixed tissue (Cooper's ligament or ischiopubic branch) in order to avoid displacement of the supporting band and new drops of the vesical cervix, with incontinence relapse in the long run. Since 1983 this procedure has been performed in 400 women, with various degrees of urinary incontinence on exertion, 140 of whom had previously undergone other procedures. Our results have been completely successful in 383 patient who at year from surgery no longer presented urinary incontinence of any degree. These good results lead us to recommend this procedure as the most suitable to solve urinary incontinence at minimal exertion, relapses and that associated to feeling of urgency in many occasions.
为了以最小的努力纠正女性尿失禁，尤其是那些阴道手术未成功的女性，我们建议对膀胱宫颈进行腱膜悬吊，并在固定组织（库珀韧带或耻骨坐骨支）中进行锚定，以避免支撑带移位和膀胱宫颈再次下垂，从而避免长期尿失禁复发。自1983年以来，已对400名有不同程度用力性尿失禁的女性进行了该手术，其中140人此前接受过其他手术。在383例患者中，我们的结果完全成功，这些患者术后一年不再有任何程度的尿失禁。这些良好的结果使我们建议将该手术作为最适合解决最小努力下的尿失禁、复发以及许多情况下与尿急感相关的尿失禁的方法。
