Levin S, Bennet A E, Levin D, Danielli L, Levin R, Sidi A
Edith Wolfson Medical Center, Holon, Israel.
Int Urogynecol J Pelvic Floor Dysfunct. 1998;9(6):405-8. doi: 10.1007/BF02199577.
The purpose of this study was to evaluate the safety and efficacy of a new minimally invasive surgical procedure for the treatment of female stress urinary incontinence (SUI). Four miniature bone anchors, each attached to a suture, are inserted transvaginally into the retropubic bone using an inserter on each side of the urethra without opening the vaginal mucosa. Tying the suture on each ipsilateral side creates colposuspension, as is the aim of previously described procedures such as the Marshall-Marchetti-Krantz. Sixty-one women (mean age 52+/-SD 9.9 years) with a mean follow-up of more than 12 months (range 12-30 months) were treated for SUI. Fifty patients (82%) are dry, 7 (14%) reported great improvement and 4 are considered surgical failures. The data presented suggest that our new minimally invasive procedure provides an effective treatment for female SUI. Its main advantages over other procedures are the transvaginal approach and short operating time.
本研究的目的是评估一种用于治疗女性压力性尿失禁（SUI）的新型微创手术的安全性和有效性。四个微型骨锚，每个都连接到一根缝合线上，通过尿道两侧的插入器经阴道插入耻骨后骨，无需打开阴道黏膜。在每一侧同侧系紧缝合线形成阴道悬吊术，这与之前描述的手术如马歇尔 - 马切蒂 - 克兰茨手术的目的相同。61名患有SUI的女性（平均年龄52±标准差9.9岁）接受了治疗，平均随访时间超过12个月（范围12 - 30个月）。50名患者（82%）无尿失禁，7名（14%）报告有显著改善，4名被认为是手术失败。所呈现的数据表明，我们的新型微创手术为女性SUI提供了一种有效的治疗方法。与其他手术相比，其主要优点是经阴道途径和手术时间短。
