Vesica经皮膀胱颈悬吊治疗女性压力性尿失禁

Vesica percutaneous bladder neck suspension for female stress incontinence

目的 介绍Ｖｅｓｉｃａ 经皮膀胱颈悬吊术治疗女性压力性尿失禁的手术方法。 方法 应用此术式治疗５ 例患者，通过特制器械将阴道前壁做Ｚ形悬吊，固定于耻骨，使悬吊有一稳定支持，悬吊面积宽阔，悬吊线张力固定。 结果 ５ 例患者术后尿垫实验阴性。平均随诊２５ ．２ 个月，５ 例均无尿失禁。 结论 该术式临床效果满意，创伤小，恢复快。

Objective To introduce and evaluate the procedure of vesica percutaneous bladder neck suspension for female stress incontinence. Methods A specially designed instrument was used to place a Z stitch through the full thickness of the anterior vaginal wall and pubocevical fascia and then anchored to the pubic bone at a fixed tension.5 cases were thus treated. Results Pad test has been negative postoperatively in all the 5 patients. The mean follow up was 25.2 months with no incontinence in all. Conclusions The procedure is effective for female stress incontinence and could be widely adopted in clinical practice.