Midurethral Synthetic Slings

Midurethral Synthetic Slings
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尿道中段合成吊带

DOI:
10.1007/978-3-319-78683-4_47
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发表时间:
2018
期刊:
影响因子:
--
通讯作者:
S. Jha
S. Jha
中科院分区:
--
文献类型:
--
作者:
S. Jha

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中尿道吊带术在本世纪初开始普及,几乎完全取代了阴道悬吊术,成为治疗压力性尿失禁的首选方法。由1型聚丙烯合成网制成,可通过耻骨后或闭孔两种途径之一进行。随着最近关于阴道使用合成网的负面宣传,该手术继续进行,但更加谨慎,强调患者咨询和同意,以及对替代方案的充分讨论。这确保了选择这一程序的患者更好地了解已经描述的问题,特别是那些独特的合成吊带。
Midurethral slings gained popularity in the early part of the millennium almost completely replacing the colposuspension as the procedure of choice for stress urinary incontinence. Made of Type 1 polypropylene synthetic mesh it can be performed through one of two routes, retropubic or the obturator. With the recent adverse publicity surrounding synthetic mesh used vaginally, the procedure continues to be performed but with greater caution and emphasis is on patient counselling and consent as well as an adequate discussion of alternatives. This ensures patients who opt for this procedure are better informed of problems which have been described specially those that are unique to synthetic slings.