INTRAVAGINAL SLINGPLASTY (IVS) - AN AMBULATORY SURGICAL-PROCEDURE FOR TREATMENT OF FEMALE URINARY-INCONTINENCE

INTRAVAGINAL SLINGPLASTY (IVS) - AN AMBULATORY SURGICAL-PROCEDURE FOR TREATMENT OF FEMALE URINARY-INCONTINENCE
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DOI:
10.3109/00365599509180543
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发表时间:
1995-03-01
影响因子:
--
通讯作者:
PETROS, P
PETROS, P
中科院分区:
其他
文献类型:
--
作者:
ULMSTEN, U;PETROS, P

文献摘要

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对50例女性尿失禁患者进行了一种新的门诊手术(阴道内吊带成形术,IVS)。所有患者的手术均在局部麻醉下进行,术后无需导尿。该技术已经从以前的实验和临床研究中详细阐述,旨在恢复耻骨尿道韧带和尿道下阴道吊床。38例患者患有真正的压力性尿失禁的客观证实,12例患者的症状和体征的紧迫性和压力性尿失禁。39例(78%)患者的压力性尿失禁症状完全治愈。另外6名患者(12%)报告了他们的尿失禁偶尔泄漏相当大的改善。关于急迫性尿失禁症状,12例患者中有6例症状明显缓解。无术中或术后并发症发生。
A new ambulatory procedure for treatment of female urinary incontinence (intravaginal sling-plasty, IVS) was performed on 50 patients. In all patients the surgical procedure was carried out under local anaesthesia and without postoperative urinary catheterization. The technique has been elaborated from previous experimental and clinical studies and aims at restoration of the pubourethral ligament and the suburethral vaginal hammock. Thirty-eight patients suffered from genuine stress incontinence as objectively verified and 12 patients had symptoms and signs of both urge and stress incontinence. Thirty-nine (78%) patients were completely cured from their stress incontinence symptoms. Another six patients (12%) reported a considerable improvement of their urinary incontinence leaking only occasionally. Concerning urge incontinence symptoms a significant relief of the symptoms was obtained in 6 of 12 patients. No intra- or postoperative complications occurred.