Madjar S, Wald M, Halachmi S, Issaq E, Moskovitz B, Beyar M, Nativ O
Department of Urology, Bnai Zion Medical Center, Haifa, Israel.
Artif Organs. 1998 Oct;22(10):879-85. doi: 10.1046/j.1525-1594.1998.06159.x.
The purpose of this ongoing study is to evaluate the safety and efficacy of new minimally invasive pervaginam cystourethropexy and sling procedures for the treatment of female genuine stress urinary incontinence. A total of 75 women (mean age, 52.8 years) underwent either a cystourethropexy or a sling procedure. A miniature bone anchor and a staple-like bone anchor driver were used for the fixation of periurethral tissue or a xenogenic sling to the pubic bone. With a mean follow-up of eight months, 61 patients (82%) were completely cured of stress incontinence, 10 (14%) reported a more than 50% decrease in pad usage, and 4 patients showed failure early following surgery. The exclusively pervaginam cystourethropexy and sling procedures are minimally invasive, safe, and effective. Further experience and longer follow-up are necessary to establish their role in the treatment of women with stress urinary incontinence.
这项正在进行的研究旨在评估新型微创经阴道膀胱尿道悬吊术和吊带手术治疗女性真性压力性尿失禁的安全性和有效性。共有75名女性（平均年龄52.8岁）接受了膀胱尿道悬吊术或吊带手术。使用微型骨锚和钉状骨锚驱动器将尿道周围组织或异种吊带固定于耻骨。平均随访8个月，61例患者（82%）压力性尿失禁完全治愈，10例（14%）报告护垫使用量减少超过50%，4例患者术后早期出现手术失败。单纯经阴道膀胱尿道悬吊术和吊带手术具有微创、安全和有效的特点。需要更多经验和更长时间的随访来确定其在治疗压力性尿失禁女性中的作用。
