Nativ O, Levine S, Madjar S, Issaq E, Moskovitz B, Beyar M
Department of Urology, Bnai Zion Medical Center, Haifa, Israel.
J Urol. 1997 Nov;158(5):1742-4. doi: 10.1016/s0022-5347(01)64115-6.
We evaluated the safety and efficacy of a new minimally invasive surgical procedure for the treatment of women with genuine stress urinary incontinence.
A total of 50 women (mean age 51 years) was treated for type I or II stress urinary incontinence. A miniature bone anchor and a staple like bone anchor driver were used for fixation of periurethral tissue to the public bone.
The procedure was successfully performed in all patients without intraoperative bleeding. No significant persistent postoperative pain was noted and only 1 patient had urinary tract infection. Concomitant vaginal hysterectomy, cystocele repair or perineoplasty was performed in 33 cases. At 12-month followup 41 patients (82%) are completely continent, 7 patients (14%) reported more than 50% decrease in pad usage and 2 cases are considered surgical failures. Mean operative time was 28 minutes.
Data suggest that our new minimally invasive procedure provides a safe, effective and easy to learn alternative for treatment of women with anatomical stress incontinence.
我们评估了一种新型微创手术治疗真性压力性尿失禁女性患者的安全性和有效性。
共50名女性（平均年龄51岁）接受了I型或II型压力性尿失禁治疗。使用微型骨锚和类似订书机的骨锚驱动器将尿道周围组织固定于耻骨。
所有患者手术均成功完成，术中无出血。术后无明显持续性疼痛，仅1例患者发生尿路感染。33例患者同时进行了阴道子宫切除术、膀胱膨出修补术或会阴成形术。随访12个月时，41例患者（82%）完全控尿，7例患者（14%）报告使用护垫次数减少超过50%，2例被视为手术失败。平均手术时间为28分钟。
数据表明，我们的新型微创手术为治疗解剖性压力性尿失禁女性患者提供了一种安全、有效且易于学习的替代方法。
