用人工合成材料的吊带经耻骨固定或经腹壁固定治疗真性女性压力性尿失禁

目的总结用人工合成材料的吊带经不同的途径治疗女性压力性尿失禁的方法和结果。方法采用人工合成材料的吊带经耻骨固定（In—Fast）技术治疗3例，用经腹壁固定（TVT和IVS）技术治疗13例。结果绝大多数病人均排尿通畅．无尿失禁复发。但TVT组有1例排尿不畅，3个月后剪断吊带后变为轻度尿失禁。In-fast组有1例性交不适伴阴道分泌物增加。结论用人工合成材料的吊带进行悬吊技术治疗女性真性压力性尿失禁是安全、微创和有效的手术方式。经耻骨固定技术和用经腹壁固定技术这两种方法各有自己的优缺点。应根据病人的具体情况去选择使用。

Urethral suspension with artificial sling fixed in pubis or abdominal wall for the treatment of female stress urinary incontinence

Objective To summarize results urethral suspension with artificial synthetic material fixed in different position for the treatment of female stress urinary incontinence. Methods From March 2001 to June 2005, 3 cases underwent urethral suspension with artificial synthetic material fixed in pubis ( In-Fast ), 13 cases underwent tension free vaginal tape procedure(TVT and IVS). Results Urination was fluent and no incontinence recurrence was found in most cases after operation. But 1 case had unfluent urination and mild incontinence 3 months later after snipping the sling. One case was discomfortable during the intercourse and the vaginal secretion was increased in the In-Fast group. Conclusion Urethral suspension with artificial sling is a safe, minimally invasive and effective operation for the treatment of female stress urinary ineontinence. The TVT and In-Fast procedures have their advantages and disadvantages respectively. The two procedures should be selected according to the patient's specific condition.