Darai E, Perdu M, Benifla J L, Madelenat P
Service de Gynécologie, Hôpital Bichat-Claude Bernard, Paris, France.
Eur J Obstet Gynecol Reprod Biol. 1997 Jul;74(1):53-5. doi: 10.1016/s0301-2115(97)00079-1.
We describe a procedure for the treatment of genuine stress urinary incontinence by percutaneous needle colposuspension of the bladder neck to Cooper's ligament. The procedure was performed in 82 patients and was associated with other procedures in 75 cases (91.5%). The mean operative time was 19 min (range 15 to 30). One peroperative hemorrhagic complication (1.2%) was noted. Nine postoperative complications were observed (10.9%) including seven urinary infections, one retropubic hematoma and one fever of unknown etiology. The mean follow-up was 13 months (range 6 to 22). Eight patients had a failure of the technique. All failures were diagnosed during the two first postoperative months. They included five cases of detrusor instability and three of persistent urinary incontinence. No additional failure was noted among the 53 patients having a follow-up greater than 12 months, suggesting a good stability of this new technique of colposuspension with a success rate of 85%.
我们描述了一种通过经皮膀胱颈穿刺悬吊至库珀韧带治疗真性压力性尿失禁的方法。该手术共对82例患者实施，其中75例（91.5%）同时进行了其他手术。平均手术时间为19分钟（范围15至30分钟）。术中发现1例出血并发症（1.2%）。术后观察到9例并发症（10.9%），包括7例泌尿系统感染、1例耻骨后血肿和1例不明原因发热。平均随访时间为13个月（范围6至22个月）。8例患者手术失败。所有失败病例均在术后前两个月内确诊。其中包括5例逼尿肌不稳定和3例持续性尿失禁。在随访时间超过12个月的53例患者中未发现额外的失败病例，这表明这种新的悬吊技术具有良好的稳定性，成功率为85%。
