Surgical management of urinary incontinence
Surgical management of urinary incontinence
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DOI：
10.1016/s0889-8545(05)70048-6
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发表时间：
1998-12-01
影响因子：
3.2
通讯作者：
McLennan, MT
中科院分区：
文献类型：
--
作者：
Bent, AE;McLennan, MT
压力性尿失禁的手术治疗包括真性压力性尿失禁（GSI）的矫正手术，以及严重形式的尿失禁（包括复发性压力性尿失禁和尿道内括约肌缺陷（ISD））的手术。GSI和移动的膀胱颈的患者应通过开放或腹腔镜技术进行耻骨后悬吊术。前路修复和针手术没有长期有效性。患有ISD和移动的膀胱颈的患者可以用胶原蛋白尿道周围填充治疗。患有ISD和移动的膀胱颈的患者，或患有复发性GSI或并发症（如哮喘）的患者，应进行尿道悬吊术。
Surgical treatment for urinary stress incontinence includes those corrective procedures for genuine stress incontinence (GSI), and these for severe forms of incontinence-including recurrent stress incontinence and intrinsic urethral sphincter deficiency (ISD). Patients with GSI and a mobile bladder neck should have a retropubic suspension procedure either by open or laparoscopic technique. Anterior repairs and needle procedures do not have long-term effectiveness. Patients with ISD and an mobile bladder neck may be treated with periurethral bulking with collagen. Patients with ISD and a mobile bladder neck, or those with recurrent GSI or a complicating issue such as asthma, should have a suburethral sling procedure.