Everaert K, Van Laecke E, De Sy W A
Department of Urology, University Hospital, Ghent.
Acta Urol Belg. 1995 May;63(2):47-50.
This is a review article about the colposacropexy and the colpopromontoriopexy in the treatment of vaginal prolapse. We reviewed the literature through the eyes of a urologist dealing with genuine stress incontinence. The treatment of genuine stress incontinence without sphincterdeficiency consists in the correction of the anterior compartment prolapse. Preoperative it is important to examen the middle and the posterior compartment of the vagina in order to achieve good postoperative results. Most urologists cure genuine stress incontinence with an abdominal approach. The combination of a colposuspension and a colpopromontoriopexy is an operation that corrects anterior, middle and posterior compartment prolapse by the same approach without significant more complications or bloodloss.
这是一篇关于阴道骶骨固定术和阴道骶岬固定术治疗阴道脱垂的综述文章。我们以一位处理真性压力性尿失禁的泌尿科医生的视角对文献进行了回顾。对于无括约肌缺陷的真性压力性尿失禁的治疗包括纠正前盆腔脱垂。术前检查阴道中隔和后盆腔很重要，以便获得良好的术后效果。大多数泌尿科医生采用腹部入路治疗真性压力性尿失禁。阴道悬吊术和阴道骶岬固定术相结合是一种通过相同入路纠正前、中、后盆腔脱垂的手术，且不会显著增加并发症或失血量。
