Kreder K J, Winfield H N
Department of Urology, University of Iowa, Iowa City, USA.
J Endourol. 1996 Jun;10(3):255-7. doi: 10.1089/end.1996.10.255.
The surgical treatment of intrinsic sphincter deficiency, or Type III genuine stress urinary incontinence, has traditionally been accomplished by sling cystourethropexy, the placement of an artificial urinary sphincter, or periurethral injection. We developed a laparoscopic approach for the performance of a sling cystourethropexy as an alternative to the open approach and herein describe our experience. We have found that a laparoscopic sling cystourethropexy is feasible, but at the present time, we have been unable to demonstrate any significant advantages to the patient in terms of decreased cost or convalescence compared with the open vaginal sling cystourethropexy.
固有括约肌缺陷（即Ⅲ型真性压力性尿失禁）的外科治疗传统上是通过吊带膀胱尿道固定术、人工尿道括约肌置入或尿道周围注射来完成的。我们开发了一种腹腔镜下进行吊带膀胱尿道固定术的方法，作为开放手术方法的替代方案，并在此描述我们的经验。我们发现腹腔镜吊带膀胱尿道固定术是可行的，但目前，与开放式阴道吊带膀胱尿道固定术相比，我们未能向患者证明在降低成本或康复方面有任何显著优势。
