无张力阴道吊带术治疗女性压力性尿失禁

目的：探讨无张力阴道吊带术(TVT)治疗女性压力性尿失禁的初步疗效和手术安全性。方法：对20例经过临床和尿动力学检查诊断为压力性或混合性尿失禁的女性患者进行TVT手术治疗，并对手术效果和并发症进行初步的随访研究。结果：平均手术时间40min(25—100min)，平均术后住院3．2d(1—28d)。18例单纯性压力性尿失禁患者16例治愈，治愈率为88．89％(16／18)，另2例显效(11．1％)。2例混合性尿失禁患者中1例显效，另1例无效。术后发生尿潴留3例，2例作松解术，1例延长导尿管留置时间后缓解。发生局部血肿1例经保守治疗后康复。结论：TVT手术是一种治疗压力性尿失禁的安全有效的方法，具有手术简单、创伤小、并发症少、患者康复快等优点。     

Treatment outcome of tension-free vaginal tape in stress urinary incontinence: comparison of intrinsic sphincter deficiency and nonintrinsic sphincter deficiency patients

The object of this study was to compare the treatment outcomes of tension-free vaginal tape (TVT) for intrinsic sphincter deficiency (ISD) and nonintrinsic sphincter deficiency (NISD) patients in stress urinary incontinence (SUI) and to evaluate whether TVT can be effectively used in both groups of patients. 111 women with SUI treated by TVT procedure from June 2003 to June 2005 with follow-ups for at least 1 year postoperatively were included in this study. The patients were divided into two groups: 31 patients with ISD and 80 patients with NISD. ISD was defined as the cases with low Valsalva leak-point pressure (VLPP) or Maximal urethral closure pressure (MUCP). Patients were followed up at 1, 3, 6, and 12 months postoperatively. There were no significant differences found in demographics between ISD and NISD groups: mean age, parity, body mass index, menopausal status, and hormone replacement therapy (p > 0.05). All urodynamic parameters except for VLPP and MUCP showed no significant differences. The cure rates of the two groups at 1 month follow-up (87.0 vs 100%; p = 0.0053) showed a significant difference, but no significant differences were found at 3, 6, and 12 months. There were no differences in postoperative complication rates (voiding difficulty, de novo urgency, urinary tract infection, retropubic hematoma, and vaginal mesh erosion) between the two groups irrelevant of follow-up months. TVT is effective for SUI in both ISD and NISD patients.     

无张力阴道吊带术微创治疗女性压力性尿失禁

目的:评价无张力阴道吊带术(TVT)治疗女性压力性尿失禁的疗效。方法:对女性压力性尿失禁患者18例,经临床和尿动力学检查确诊,均为稳定性膀胱,无膀胱出口梗阻。采用TVT术,将吊带无张力置于尿道中段。结果:手术时间平均(40±6)min;术中出血量平均(43±11) ml;术后平均留置导尿1.5d;术后平均住院3d。18例患者术后尿失禁症状均消失。1例患者术后出现尿潴留,留置导尿1 周后好转,尿潴留症状消失,尿失禁未复发。结论:TVT手术因其简单,微创,疗效好,并发症少,目前可作为女性压力性尿失禁手术治疗的首选术式。     

经阴道无张力性尿道中段悬吊术治疗女性压力性尿失禁10例分析

目的：探讨经阴道无张力性尿道中段悬吊术(TVT)在治疗女性压力性尿失禁中的意义。方法：10例患者，年龄45—58岁，平均48．4岁。临床表现为用力、咳嗽等时尿液不自主流出。病史4个月-15年。经详细地尿动力学检查证实为压力性尿失禁。行腹压漏尿点压(abdominal leak-point pressure，ALPP)测定，按照McGuire的方法分型，ALPP＞9．81kPa(I型)2例，ALPP6．38—9．81kPa(Ⅱ型)3例，ALPP＜6．38kPa(Ⅲ型)5例。结果：术后10例均无尿失禁，8例患者拔除导尿管当日即可顺利排尿，1例出现尿潴留，1例膀胱穿孔。结论：TVT手术安全易行，手术时间短，创伤小，患者康复快，治疗压力性尿失禁近期效果确切，远期疗效有待进一步研究。     

经闭孔及经耻骨后无张力阴道吊带术治疗女性压力性尿失禁的疗效比较

目的探讨经闭孔无张力阴道吊带术(TVT-O)及经耻骨后无张力阴道吊带术(TVT)治疗女性压力性尿失禁(SUI)的临床疗效。方法回顾性分析40例经过临床和尿动力学检查诊断为SUI的女性患者不同手术方法治疗的疗效,其中TVT-O术18例,TVT术22例。2组患者的年龄、病程、术前腹腔漏尿点压力间比较差异均无统计学意义(P值均>0.05)。结果TVT-O组手术时间11~20min,平均(14±3)min,术中出血量(10±3)ml,术后平均住院时间1.5d;TVT组手术时间25~50min,平均(32±7)min,术中出血量(40±15)ml,术后平均住院时间3.5d;2组比较差异均有统计学意义(P值均<0.01)。TVT-O无需膀胱镜观察。2组患者于术后24~36h拔除尿管后尿失禁症状均消失。TVT-O组无严重手术并发症,TVT组出现1例术后排尿困难。随访1~6个月,2组均无尿失禁复发。结论TVT-O和TVT术均为微创手术,二者疗效相似,而TVT-O术更安全,手术操作更简便,创伤小,患者康复快,并发症少。     

Urethral erosion of tension-free vaginal tape presenting as recurrent stress urinary incontinence

The suburethral sling with tension-free vaginal tape (TVT) has become a popular treatment for stress urinary incontinence. Erosion of the mesh into the urethra is rare, usually presenting with hematuria, pain, voiding dysfunction or urge incontinence. A patient with stress incontinence was treated with a TVT suburethral sling. One month later, symptoms of recurrent stress incontinence developed. Cystourethroscopy revealed urethral mesh erosion. Surgical removal involved cystourethroscopic-assisted transurethral resection of the mesh, followed by vaginal dissection and periurethral withdrawal. Urethral mesh erosion should be considered in a patient who presents with atypical symptoms after being treated with a suburethral sling. It is important to obtain a detailed history and have a high clinical index of suspicion for erosion. Careful and comprehensive urethroscopy, in addition to cystoscopy, should be a mandatory part of the TVT procedure. Further study is needed to determine the optimal technique for mesh removal.Abbreviations TVT Tension-free vaginal tape     

TVT术对尿道固有括约肌功能缺陷的女性压力性尿失禁患者的临床观察

目的:探讨TVT悬吊术治疗有尿道固有括约肌功能缺陷(ISD)的女性压力性尿失禁(SUI)患者的疗效.方法:采用TVT悬吊术治疗女性SUI患者114例,将ISD和无ISD患者的疗效进行比较.结果:114例中获得随访者110例(96.5%):无ISD者92例,治愈81例(88.0%),有效10例(10.9%),完全失败1例(1.1%);有ISD者18例,治愈12例(66.7%),有效3例(16.7%),完全失败3例(16.7%).术后有7例患者出现明显的排尿困难,其中2例为剩余尿阴性的ISD患者,差异有统计学意义.结论:TVT悬吊术是一种治疗女性SUI患者安全、有效和微创的治疗手段,对有ISD的女性SUI患者同样有效,但疗效不如无ISD的患者;特别是当患者年龄大于65岁、最大尿道关闭压小于0.981 kPa或尿道活动度小时,其治疗效果较差.TVT悬吊术治疗ISD时仍应遵循该术式的常规操作.     

TVT手术治疗女性压力性尿失禁的临床分析

目的探讨女性压力性尿失禁(SUI)的诊断及无张力阴道吊带术(TVT)的临床疗效。方法回顾性分析2003年5月至2004年8月我院16例女性压力性尿失禁患者无张力阴道吊带治疗效果、并发症情况。结果手术时间平均31.5min。术中出血平均62mL。随访1~15个月,全部病例均治愈,未见远期并发症。结论无张力阴道吊带术是治疗女性压力性尿失禁有效、安全、微创的方法,值得推广。     

Female sexual function following surgery for stress urinary incontinence: tension-free vaginal versus transobturator tape procedure

The aim of this study was to compare sexual function outcome following tension-free vaginal (TVT) versus transobturator tape (TOT) for stress urinary incontinence (SUI). All women who underwent TVT or TOT procedures for SUI with no concomitant prolapse repair between January 2002 and July 2007 were sent a retrospective pre-post questionnaire. Eighty-one and 64 women were sexually active before and after TVT and TOT procedures, respectively. Sexual function outcome did not differ pre- and postoperatively for the TVT and TOT groups, and postoperatively between the two groups. Responders reported an improvement of intercourse satisfaction in 23 (29.5%) and 21 (32.9%) cases, whereas 14 (17.3%) and eight (12.5%) complained of sexual function deterioration after TVT and TOT procedure, respectively (p = 0.43). This study suggests that anti-incontinence surgery can have a positive and negative outcome on sexual function, with no significant differences between the TVT and TOT procedures.     

A transvaginal ultrasound study comparing transobturator tape and tension-free vaginal tape after surgical treatment of female stress urinary incontinence

This study was carried out to compare ultrasonographic findings on patients after transobturator tape (TOT) and tension-free vaginal tape (TVT) procedures to evaluate displacement of tapes up to a 2-year follow-up and to test the correlation between bladder outlet obstruction and the tape position. Forty-nine patients had a transvaginal ultrasonographic evaluation after TOT (n=31) or TVT (n=18) procedures. Twenty-one patients from the TOT group and 12 from the TVT group had ultrasonographic evaluation both at 1 and 2 years follow-up. Tape position was evaluated with a complete sagittal view, and the width of the tape and the distance between the middle of the tape and the bladder neck were measured. Statistical analysis was performed using a t test. After clinical evaluation, stress test, and uroflowmetry with residual measurement, the tapes were compared on ultrasound with regard to clinical and urodynamic results: success in stress incontinence vs failure, bladder outlet obstruction vs no obstruction, and de novo urgencies vs no urgencies. No difference was found between TOT and TVT in the midurethral tape placement. The distance between the middle of the tape and the bladder neck at rest was similar at both 1 and 2 years after both TOT and TVT and was unchanged after coughing or Valsalva. The width of the tape was similar after TOT and TVT at both 1 and 2 years after the procedure. There was no difference in the distance between the middle of the tape and the bladder neck between cured patients, failure, bladder outlet obstruction, and de novo urgencies after both TOT and TVT. Transvaginal ultrasound examination showed no significant difference in the tape position between TOT and TVT. No correlation was found between ultrasonographic findings and postoperative voiding troubles for both techniques.     

Comparison of laparoscopic Burch and tension-free vaginal tape in treating stress urinary incontinence in obese patients.

OBJECTIVE: To compare the efficacy and safety of the tension-free vaginal tape (TVT) and laparoscopic Burch procedures in treating genuine stress urinary incontinence in obese patients. METHODS: This was a retrospective evaluation of 91 consecutive cases of TVT alone or TVT combined with other procedures from April 1999 through March 2000 and 51 consecutive cases of the laparoscopic Burch procedure from January 1998 through February 1999. All procedures were performed in a private practice and community hospitals in the midwest. One hundred forty-two women (ages 34 to 79) with stress urinary incontinence documented by clinical examination and preoperative cystometric and urodynamic evaluation were included in the study. They were also divided into 5 groups based on their body mass index (BMI): NL (normal-BMI < 25), OW (overweight-BMI 25 to 29), OBI (obesity I-BMI 30 to 34), OBII (obesity II-BMI 35 to 39), OBIII (obesity III-BMI > 40). In the TVT group, 66% were obese (OBI-21, OBII-17. OBIII-22) versus 36% in the laparoscopic Burch (OBI-13, OBII-5) group. RESULTS: All TVT patients remain cured or symptoms improved in their genuine stress urinary incontinence, which favorably compares with the laparoscopic Burch procedure after 1 year. Operating time for the TVT portion ranged from 18 to 40 minutes. The laparoscopic Burch procedure in general took over 1 hour. No bladder, bowel, or vascular injuries have occurred in the TVT group. Superficial suprapubic ecchymoses have occurred in the TVT group occasionally but required no intervention. The average length of stay was 1 day; TVT-only patients usually were released on the same day. Ninety percent of patients were voiding normally by postoperative day 7. Most of the patients with continued urinary retention had had combined procedures. CONCLUSIONS: This preliminary study indicates that TVT is a safer, more effective, and easier minimally invasive surgery for genuine stress urinary incontinence regardless of the patients' BMI and favorably compares with the laparoscopic Burch procedure, which requires advanced surgical skills.     

Five-year outcomes of the tension-free vaginal tape procedure for treatment of female stress urinary incontinence

OBJECTIVES: We evaluated the long-term efficacy and safety of a tension-free vaginal tape (TVT) procedure for the treatment of female stress urinary incontinence (SUI) in a Korean population. METHODS: We included 134 patients (mean age, 52.3+/-9.3 yr) who underwent the TVT procedure for SUI in three institutions and followed for 5 yr (mean, 67.0 mo; range, 60-76 mo) postoperatively. We analysed voiding diaries and complete multichannel urodynamic studies preoperatively as well as cough stress tests, uroflowmetry, and questionnaires postoperatively. RESULTS: The overall 5-yr success rates (cure/improved) were 94.9% (76.9% and 18.0%, respectively), with an 86.6% patient satisfaction rate. Although the success rates between 1 and 5 yr were similar (97.7% vs. 94.9%), the cure rate decreased from 90.1% to 76.9% (p<0.001) at 5 yr. The 5-yr cure rate for mixed urinary incontinence (MUI) was 72.0%, which was not significantly different from pure SUI (78.0%, p>0.05). Maximal flow rate dropped from 25.9+/-10.3ml/s to 20.4+/-8.6ml/s at 1 mo postoperatively and recovered to 24.8+/-8.5ml/s at 5 yr. Complications included bladder perforation in 5 patients (3.7%), tape cutting or release in 11 (8.2%), and persistent suprapubic pain in 3 (2.2%). Urgency and urge incontinence improved in 46.7% and 48.0% of patients, respectively. CONCLUSIONS: TVT was an effective and safe procedure for SUI and MUI with high success rates in the long-term follow-up. It also improved concomitant overactive bladder symptoms and initially reduced postoperative urine flow, which recovered over time.     

经阴道无张力悬吊术治疗女性压力性尿失禁及并发症防治

目的 探讨女性压力性尿失禁（SUI）的微创手术治疗效果及并发症的防治。方法2002年10月至2004年12月采用经阴道无张力悬吊带术（TVT）治疗女性SUI患者33例，2例合并子宫肌瘤者同时行腹腔镜子宫切除术。出院前行1h尿垫试验观察疗效，术后3个月行尿流率和膀胱剩余尿测定观察对排尿的影响。结果 33例患者手术时间25～50min，平均33min，出血量10～23ml，平均18ml。术中膀胱穿孔3例，双侧1例、单侧2例。耻骨后血肿2例，经保守治疗痊愈。术后24～48h30例拔尿管，平均38h，3例膀胱穿孔者拔管时间为4～5d。32例患者排尿良好，1例出现尿潴留。随访1～29个月，患者可自主控尿30例，1h尿垫试验由术前的平均46g（10～85g）降至术后1．2g（0～2g），其余3例用力咳嗽时有少许尿液滴出，1h尿垫试验平均为5．2g（3～9．5g），总治愈率91％（30／33），显效3例。术后3个月31例行尿流率和剩余尿测定，平均尿流率（ml／s）、最大尿流率（ml／s）和剩余尿量（m1）术前为10．4、21．5、10．5，术后为11．5、20．4、11．8，手术前后比较差异无统计学意义（P〉0．05）。结论　经阴道尿道中段无张力悬吊带术可安全有效治疗女性压力性尿失禁。     

The effect of tension-free vaginal tape (TVT) procedure on sexual function in women with stress urinary incontinence

The aim of this study was to evaluate the effects of tension-free vaginal tape (TVT) on sexual function in women with stress urinary incontinence (SUI) by questionnaire. Thirty-two sexually active and married women who were planned for TVT to treat SUI constituted the patient group, and 25 women who were healthy, sexually active and married, were selected as the control group; the ages of both groups matched. Sexual functions (desire, arousal, orgasm, pain and satisfaction) were evaluated with the Index of Female Sexual Function (IFSF), and continence status during sexual intercourse was asked about both preoperatively and postoperatively in the 6th month. The mean domain scores of sexual functions such as desire, arousal, orgasm, pain and overall satisfaction preoperatively and postoperatively were 3.37±0.69, 3.82±0.62, 3.40±0.95, 3.41±0.98, 3.16±1.09 and 3.32±0.79, 3.71±0.53, 3.06±1.04, 2.75±1.29, 2.88±0.63, respectively, and postoperative scores insignificantly decreased. Also, these scores in the control group were 3.64±0.66, 3.96±0.73, 4.12±0.78, 3.96±1.14 and 3.68±0.92. In comparison with the control group, whereas all of the preoperative domain scores were found to be decreased but were statistically insignificant except orgasmic function, postoperative scores significantly worsened, except for desire and arousal. However, preoperatively nine patients explained that they had incontinence during sexual intercourse, and this problem persisted in twopostoperatively (p = 0.043). This study shows that both SUI and the TVT procedure negatively affect sexual function in women.Abbreviations FSD Female sexual dysfunction - SUI Stress urinary incontinence - TVT Tension-free vaginal tape Editorial Comment: This study examines female sexual function in relation to SUI and the TVT procedure. The conclusion is that as a rule SUI negatively affects female sexual function. A successful TVT procedure does not improve patients perception of sexual function. Counseling for sexual dysfunction should therefore be part of the preoperative investigation.     

无张力性阴道吊带治疗女性压力性尿失禁的临床疗效

目的　探讨无张力性经阴道尿道中段吊带术(TVT)治疗女性压力性尿失禁(SUI)的临床疗效。　方法　对42例压力性或混合性尿失禁的女性患者进行了TVT手术治疗。年龄31 ~69岁,平均48岁,病程3 ~21年。行腹压漏尿点压(ALPP)测定。按照McGurire的方法分型,ALPP>9. 81kPa(Ⅰ型)8例,ALPP6. 38~9. 81kPa(Ⅱ型)12例,ALPP<6. 38kPa(Ⅲ型)22例。　结果　平均手术时间40min(30~90min),平均术后住院4. 5d(3 ~8d)。42例随访4 ~18个月,平均15个月,无SUI复发, 34例单纯性SUI患者治愈32例,治愈率94. 1%,显效2例(5. 9% ); 8例混合性尿失禁患者中治愈7例,显效1例。术后发生尿潴留4例, 1例作松解术, 3例延长导尿管留置后缓解。42例术后均无尿失禁。　结论　TVT是治疗女性SUI安全有效的方法,手术安全易行,创伤小,康复快,近期效果满意。     

无张力尿道中段悬吊术治疗女性压力性尿失禁84例临床分析

目的 探讨经阴道无张力尿道中段悬吊术(TVT)治疗女性压力性尿失禁(SUI)的临床疗效.方法 女性SUI患者84例,经临床病史收集、尿动力学检查及生活质量评分等确诊.采用TVT将聚丙烯吊带无张力置于尿道中段,对其中15例阴道壁脱垂患者同时行阴道壁修补术.测定患者TVT手术前后尿动力学检查、生活质量评分以及总体手术疗效在术后随访期限内的变化.结果 75例患者按时进行复诊,9例患者因年龄或居住外省等原因进行电话随访.随访时间1月至11年,通过主观及客观检查证实72例(85.7％)治愈,9例(10.7％)好转,3例(3.6％)无效.11年随访过程该数值较为稳定(P＞0.90).在多变量分析中,肥胖(HR:2.61,P=0.03)及盆底手术史(HR:0.33,P=0.001)是SUI术后复发的独立危险因素.随访过程没有出现需外科手术干预的并发症.结论 TVT因其微创、操作简便、并发症少及术后恢复快、临床疗效稳定成为女性压力性尿失禁外科手术的首选手术术式.     

治疗女性压力性尿失禁手术吊带松紧不同调整方法的探讨

目的:探讨经阴道尿道中段悬吊术治疗女性压力性尿失禁吊带松紧不同调整方法的效果及并发症发生情况.方法:回顾性分析2003年8月～2005年12月收治的399例单纯压力性尿失禁(Stress urmary incontinence,SUI)患者临床资料,其中行经耻骨后通路的经阴道无张力尿道中段悬吊术(Tension free vaginal tape,TVT)4例,经阴道悬吊成形术(Intravaginal slingplasty,IVS)126例,童式前路悬吊手术150例,经闭孔通路的阴道无张力尿道中段悬吊术(TVT-O)58例,改良TVT-O手术61例.对吊带松紧的调整分别采用诱发试验法、组织剪法、尿道棒法和艾利斯钳法,观察各种吊带松紧调整方法的效果及并发症.结果:采用诱发试验法128例,基本无效(偏松)2例(2/128),效果满意124例(124/128),尿潴留(偏紧)2例(2/128);组织剪法98例,基本无效2例(2/98),效果满意93例(93/98),尿潴留3例(3/98);尿道棒法96例,基本无效4例(4/96),效果满意87例(87/96),尿潴留5例(5/96);艾利斯钳法77例,基本无效5例(5/77),效果满意66例(66/77),尿潴留6例(6/77)例.总偏松发生率3.3%(13/399),偏紧发生率4.0%(16/399).四组中以诱发试验法并发症发生例数最低,艾利斯钳法最高,但经统计学处理,四组间差异无统计学意义(P＞0.05).结论:TVT是治疗压力性尿失禁非常有效的手术治疗方法,治疗效果的关键在于吊带调整的松紧程度.诱发试验法、组织剪法、尿道棒法和艾利斯钳法均为临床实用的有效调整吊带松紧的手段,其中诱发试验法对初学者较易掌握,并有可靠的治疗效果和很低的并发症发生率.在此方法基础上积累一定经验后采用其他方法可提高手术效率.     

无张力性吊带术治疗女性压力性尿失禁

目的探讨无张力阴道吊带术(tension-free vaginal tape，TVT)治疗女性压力性尿失禁的疗效。方法13例经尿动力学检查证实为压力性尿失禁在连续硬膜外麻醉下经阴道前壁行无张力阴道吊带术，低平截石位，经阴道前壁向上穿刺尿道两侧间隙，从耻骨上腹壁引出TVT吊带，调整张力，关闭切口。结果手术时间15～45min，平均35min。13例随访6～24个月，平均13个月，12例治愈，1例改善，无尿失禁复发或排尿困难。结论TVT操作简单，创伤小，手术时间短，术后恢复快，治疗压力性尿失禁疗效好。     

无张力阴道吊带术治疗女性压力性尿失禁(附13例报告)

目的　评价无张力阴道吊带术 (TVT)治疗女性压力性尿失禁疗效。　方法　女性压力性尿失禁患者 13例 ,经临床和尿动力学检查确诊 ,均为稳定性膀胱 ,膀胱出口无梗阻。采用Prolene聚丙烯网状吊带 ,手术自阴道前壁切口经耻骨后向下腹部穿刺 ,将吊带无张力置于尿道中段。　结果　手术时间平均 (38± 7)min ;术中出血量平均 (4 5± 10 )ml;术后平均留置导尿 2d ;术后平均住院 4d。13例患者术后尿失禁症状均消失。 1例患者术后出现尿潴留 ,留置导尿 2周后无改善 ,予手术切断吊带 ,尿潴留症状消失 ,尿失禁未复发。　结论　TVT手术疗效确切 ,操作简便 ,对患者损伤小 ,并发症发生率低 ,是一种治疗女性压力性尿失禁的有效方法。     

经阴道无张力吊带术治疗女性压力性尿失禁的体会

目的探讨经阴道无张力吊带术(TVT)治疗女性压力性尿失禁(SUI)的疗效及安全性。方法对2002年5月至2004年12月施行TVT的114例女性SUI患者资料进行回顾性研究。根据Stamey尿失禁分级系统评价TVT手术的有效性。术后较术前尿失禁等级评分改善2级或2级以上为显著改善,1级为改善,无改善甚至加重为无效。术后尿失禁等级为0~1级为完全控尿,2级为有效控尿,3~4级为无效。评估术前、术后的24h尿垫试验及尿动力学检查结果。并对并发症进行统计和分析。结果随访110例(96.5%),随访时间6~30个月。24h尿垫试验术前(38.3±10.4)g,术后(8.8±7.4)g;尿失禁症状评分从术前42.3±11.4,术后20.4±9.2;尿失禁等级评分显著改善者94例(85.5%),改善者12例(10.9%),无效者4例(3.6%)。术后完全控尿者89例(80.9%),有效控尿者14例(12.7%),无效者7例(6.4%)。术中发生膀胱穿孔2例(1.8%),出血14例(12.7%)。术后1个月内有排尿不畅者9例(8.2%),尿频、尿急者12例(10.9%),尿潴留者1例(0.9%);术后6个月后有耻骨上不适者8例(7.3%),排尿不尽者2例(1.8%),尿频、尿急者3例(2.7%)。1例反复尿潴留患者经保守治疗无效,最终将吊带切断。术后未出现吊带处阴道黏膜糜烂和明显盆腔血肿。结论TVT术是目前治疗女性SUI的一种有效、安全的微创手术。