Fischer-Rasmussen W
Department of Obstetrics and Gynecology, H:S Rigshospitalet, University of Copenhagen, Denmark.
Acta Obstet Gynecol Scand Suppl. 1998;168:38-43.
To describe the principal methods of needle bladder neck suspension including complications and to evaluate their cure rates.
The methods are described according to the original papers of Pereyra, Stamey and Raz. Figures of complications and cure rates are based on recent reviews and prospective studies.
The complication rates do not exceed those of other surgical procedures for stress incontinence. The frequencies of pain and suture removal, voiding disorder, and de novo detrusor instability are each in the range of 5-6%. Objectively assessed cure rates of the endoscopic needle bladder neck suspension are 87% after one year and for the non-endoscopic methods 70%. However, prospective studies have shown that this cure rates may deteriorate to approximately 40% after five years compared to 82% after the Burch colposupension.
The needle procedures should be reserved to patients who can only tolerate a minor surgical procedure and accept the risk of failure after a few years.
描述针式膀胱颈悬吊术的主要方法，包括并发症，并评估其治愈率。
根据佩雷拉、斯塔梅和拉兹的原始论文描述这些方法。并发症和治愈率的数据基于近期综述和前瞻性研究。
并发症发生率不超过其他压力性尿失禁手术的发生率。疼痛和缝线拆除、排尿障碍以及新发逼尿肌不稳定的发生率均在5%-6%范围内。内镜下针式膀胱颈悬吊术1年后的客观评估治愈率为87%，非内镜方法为70%。然而，前瞻性研究表明，与经腹耻骨后膀胱颈悬吊术术后82%的治愈率相比，这些治愈率在5年后可能降至约40%。
针式手术应仅适用于只能耐受小型手术并接受几年后手术失败风险的患者。
