Deliveliotis C, Picramenos D, Macrichoritis C, Koutsokalis G, Alexopoulou K, Kostakopoulos A
Département d'Urologie, Université d'Athènes, Grèce.
Prog Urol. 1994 Dec;4(6):974-6.
In this study we present our experience from the application of the bladder neck suspension as modified by Raz on 37 patients. All patients had severe genuine stress incontinence. Twenty of them had undergone previous surgery for the same problem, and 16 patients had had a previous hysterectomy. In addition 15 patients had a small cystocele. In all cases, the Raz procedure was performed by the same surgical team. The follow-up ranged from 8-32 months (mean follow-up 15.4). The overall success rate was 86.5%. Patients with no history of previous surgery and all patients with cystocele were cured. The 5 failures occurred in patients with previous surgery and hysterectomy. The complications were few. It is concluded that the Raz bladder neck suspension is a safe and effective method for the treatment of stress incontinence, especially in cases with cystocele or failure after primary treatment.
在本研究中，我们介绍了对37例患者应用经拉兹改良的膀胱颈悬吊术的经验。所有患者均患有严重的真性压力性尿失禁。其中20例曾因同一问题接受过手术，16例曾接受过子宫切除术。此外，15例患者有轻度膀胱膨出。所有病例均由同一手术团队实施拉兹手术。随访时间为8 - 32个月（平均随访15.4个月）。总体成功率为86.5%。无既往手术史的患者以及所有有膀胱膨出的患者均治愈。5例失败病例发生在有既往手术和子宫切除术的患者中。并发症较少。结论是，拉兹膀胱颈悬吊术是治疗压力性尿失禁的一种安全有效的方法，尤其适用于伴有膀胱膨出或初次治疗失败的病例。
