Klutke J J, Klutke C G, Hsieh G
Department of Obstetrics and Gynecology, USC School of Medicine, Los Angeles, California 90033, USA.
Tech Urol. 1998 Sep;4(3):145-7.
The aim of this study was to investigate the incidence of operative injury to the lower urinary tract after retropubic urethropexy. We prospectively evaluated the incidence of lower urinary tract injury in 97 consecutive patients after pelvic surgery, which included primary Burch retropubic urethropexy. None of the subjects sustained intraoperative injury of the bladder or ureters as evidenced by an intact bladder mucosa and prompt efflux of dye from both ureteral orifices. In our experience, the incidence of lower urinary tract injury with retropubic urethropexy is low. We do not support the routine use of intraoperative cystoscopy with Burch retropubic urethropexy.
本研究的目的是调查耻骨后尿道悬吊术后下尿路手术损伤的发生率。我们前瞻性评估了97例连续接受盆腔手术患者的下尿路损伤发生率，其中包括初次耻骨后Burch尿道悬吊术。所有受试者膀胱黏膜均完整，双侧输尿管口染料流出顺畅，无术中膀胱或输尿管损伤情况。根据我们的经验，耻骨后尿道悬吊术导致下尿路损伤的发生率较低。我们不支持在Burch耻骨后尿道悬吊术中常规使用术中膀胱镜检查。
