Benderev T V
Incontinence Treatment Center, Mission Viejo, California.
J Urol. 1994 Dec;152(6 Pt 2):2316-20. doi: 10.1016/s0022-5347(17)31666-x.
During the last 8 years the original percutaneous needle suspension of Pereyra has been enhanced with the goal to reestablish safely and simply support of the pubocervical fascia in a reproducible and secure manner. Refinements include changes in points of suture attachment, limitation of suture tension and devices to perform the procedure simply and anchor the suspending suture in bone. A path along 2 planes of landmarks is used to guide the needle in capturing a maximum amount of mobile pubocervical fascia with a minimum risk of injury to the bladder or ureter. In 3 years over 150 patients have undergone this procedure. Early problems included suture breakage and inaccurate anchor placement. There have been no cases of chronic urinary retention. During the last 2 years the procedure has been performed on an outpatient basis. When suprapubic infection has been suspected, symptoms and signs have resolved with antibiotics. No sutures have been removed and osteitis pubis has not been noted. Any improvement in long-term durability has not yet been determined due to the history of ongoing refinements and the need for subsequent long-term followup. The specifics of this suspension system are described.
在过去8年中，佩雷拉最初的经皮穿刺悬吊术得到了改进，目的是以可重复且安全的方式，简单而安全地重建耻骨宫颈筋膜的支撑。改进之处包括缝合附着点的改变、缝线张力的限制以及使手术操作简单并将悬吊缝线固定于骨的装置。沿着两个标志平面的路径用于引导穿刺针，以捕获最大量的可移动耻骨宫颈筋膜，同时将膀胱或输尿管损伤风险降至最低。在3年时间里，超过150例患者接受了该手术。早期问题包括缝线断裂和锚定位置不准确。尚无慢性尿潴留病例。在过去2年中，该手术已在门诊进行。当怀疑耻骨上感染时，症状和体征经抗生素治疗后得以缓解。未拆除任何缝线，也未发现耻骨炎。由于该手术仍在不断改进且需要后续长期随访，其长期耐用性的任何改善情况尚未确定。本文描述了这种悬吊系统的具体情况。
