Sarver R, Govier F E
Department of Urology and Renal Transplantation, Virginia Mason Medical Center, Seattle, Washington 98111, USA.
Int Urogynecol J Pelvic Floor Dysfunct. 1997;8(6):358-68. doi: 10.1007/BF02765597.
Renewed interest in the pubovaginal sling procedure for stress urinary incontinence has occurred in response to recent reports of poor durability and inconsistent efficacy associated with simple cystourethropexy. Many of the failures are felt to represent patients with an unrecognized component of intrinsic sphincteric deficiency. Historically slings have a favourable cure rate, but have been perceived as having unacceptably high rates of prolonged urinary retention and secondary detrusor instability. This article reviews the preoperative evaluation and indications for pubovaginal slings, describes the evolution of the current techniques, and discusses choice of sling material, surgical approach, results and complications. It is hoped that this review will stimulate interest in this versatile but technically challenging procedure.
针对近期有关单纯膀胱尿道悬吊术耐久性差和疗效不一致的报道，人们对耻骨后阴道吊带术治疗压力性尿失禁重新产生了兴趣。许多治疗失败被认为是由于患者存在未被识别的内在括约肌缺陷成分。从历史上看，吊带术有良好的治愈率，但被认为存在不可接受的高比例长期尿潴留和继发性逼尿肌不稳定。本文回顾了耻骨后阴道吊带术的术前评估和适应证，描述了当前技术的演变，并讨论了吊带材料的选择、手术入路、结果及并发症。希望这篇综述能激发人们对这种用途广泛但技术上具有挑战性的手术的兴趣。
