Madjar S, Beyar M, Nativ O
Bnai-Zion Medical Center, Haifa, Israel.
Int Urogynecol J Pelvic Floor Dysfunct. 1998;9(6):416-8. doi: 10.1007/BF02199580.
The concept of using the pubic bone as a support for the bladder neck and urethra in the treatment of women with genuine stress urinary incontinence is well established, and is applied in traditional procedures such as Marshall-Marchetti-Krantz and the Burch colposuspensions. Recently, minimally invasive techniques, including the use of laparoscopic surgery and pubic bone anchoring systems, have been introduced. These new techniques, attempt to combine the advantages of retropubic procedures while remaining minimally invasive. A search of the English literature was carried out, traditional and new procedures using the pubic bone as a support for the bladder neck and urethra are described, and their efficacy and complications are reviewed and discussed. Traditional procedures have proved to be highly effective and well tolerated, with good long-term outcomes. The early results of innovative minimally invasive techniques are promising, but further experience and longer follow-up is needed to establish their role in the treatment of female stress urinary incontinence.
在治疗真性压力性尿失禁的女性患者时，利用耻骨作为膀胱颈和尿道的支撑这一概念已得到充分确立，并应用于诸如马歇尔-马凯蒂-克兰茨手术和伯奇阴道悬吊术等传统手术中。最近，包括使用腹腔镜手术和耻骨锚固系统在内的微创技术已被引入。这些新技术试图在保持微创的同时，兼具耻骨后手术的优点。我们检索了英文文献，描述了使用耻骨作为膀胱颈和尿道支撑的传统及新手术，并对其疗效和并发症进行了回顾与讨论。传统手术已被证明非常有效且耐受性良好，长期效果也较好。创新性微创技术的早期结果很有前景，但需要更多经验和更长时间的随访来确定它们在女性压力性尿失禁治疗中的作用。
