Rovner E S, Ginsberg D A, Raz S
Department of Urology, UCLA School of Medicine, USA.
World J Urol. 1997;15(5):280-94. doi: 10.1007/BF02202013.
Stress urinary incontinence (SUI) in the female may be treated by a variety of non-surgical and surgical therapies. However, once the patient has chosen to undergo operative repair the ideal procedure is based on three considerations: the degree of anterior vaginal wall prolapse, the degree of incontinence and associated anatomic abnormalities requiring surgical repair. In the vast majority of cases vaginal wall sling is our procedure of choice for the surgical treatment of SUI in the female. Vaginal wall sling is based on sound anatomic principles, may be performed as an outpatient procedure and is equally efficacious for the treatment of SUI due to anatomic incontinence (urethral hypermobility) and intrinsic sphincter deficiency. Since vaginal wall sling is performed through a transvaginal approach, other associated manifestations of pelvic floor prolapse such as rectocele can be addressed and repaired simultaneously. When necessary the vaginal wall sling can be easily modified to repair large grade cystoceles.
女性压力性尿失禁（SUI）可通过多种非手术和手术疗法进行治疗。然而，一旦患者选择接受手术修复，理想的手术方法基于三个考虑因素：阴道前壁脱垂程度、尿失禁程度以及需要手术修复的相关解剖异常。在绝大多数情况下，阴道壁吊带术是我们治疗女性SUI的首选手术方法。阴道壁吊带术基于合理的解剖学原理，可以作为门诊手术进行，对于解剖性尿失禁（尿道活动过度）和固有括约肌缺陷引起的SUI治疗同样有效。由于阴道壁吊带术是通过经阴道途径进行的，盆底脱垂的其他相关表现如直肠膨出可以同时得到处理和修复。必要时，阴道壁吊带术可以很容易地进行修改以修复大型膀胱膨出。
