Sadoughi N, Pessis D
Department of Urology, Rush University, School of Medicine, Chicago, Illinois 60612.
J Am Coll Surg. 1994 Apr;178(4):326-8.
The therapeutic surgical approach to cystourethrocele and pelvic organ prolapse with or without urinary incontinence usually involves hysterectomy and anterior colporrhaphy. This is associated with a high degree of failure and may cause the appearance of de novo urinary incontinence because of functional disturbances of the lower urinary tract. We report a new combined needle suspension of bladder neck and uterine isthmus to correct uterovaginal prolapse and urinary incontinence without the need for hysterectomy. This endoscopic procedure is minimally invasive, safe, effective and simple. The operative approach is flexible, well tolerated and could be adapted to an outpatient setting. It is designed to restore the functional pelvic anatomy without extensive operative dissection and anterior colporrhaphy.
治疗伴有或不伴有尿失禁的膀胱尿道膨出和盆腔器官脱垂的手术方法通常包括子宫切除术和前路阴道修补术。这伴随着高度的失败率，并且可能由于下尿路功能紊乱而导致新发尿失禁。我们报告一种新的膀胱颈和子宫峡部联合穿刺悬吊术，用于在无需子宫切除术的情况下纠正子宫阴道脱垂和尿失禁。这种内镜手术微创、安全、有效且简单。手术方法灵活，耐受性良好，可适用于门诊环境。它旨在恢复盆腔功能解剖结构，而无需进行广泛的手术解剖和前路阴道修补术。
