三种膀胱颈悬吊术治疗真性压力性尿失禁对照分析

Analysis of three methods of bladder neck suspension for the treatment of genuine stress incontinence

目的 分析比较 3种膀胱颈悬吊手术在治疗真性压力性尿失禁中的作用。方法 回顾分析我院 3 6例行膀胱颈悬吊的压力性尿失禁患者 ,比较分析M M K手术、Stamey手术及耻骨锚定吊带术的治疗效果。结果 3种术式都能明显改善压力性尿失禁 ,在主观症状及尿动力学检查上均有显著进步 ,其中耻骨锚定吊带术具有较大优势。结论 膀胱颈悬吊术是治疗压力性尿失禁的有效方法 。

Objective To analyze the effect of three methods of bladder neck suspension on the treatment of genuine stress incontinence. Methods A total of 36 patients with stress incontinence undergoing bladder neck suspension were retrospectively analyzed. Comparative analysis was also conducted of the therapeutic efficacy of M M K operation, the Stamey operation and the Vesicar sling. Results Obvious improvement of the symptoms(objective symptoms and symptoms by urodynamic test) of stress incontinence resulted from all the three methods, among which the Vesicar sling was the best. Conclusion Bladder neck suspension, especially the Vesicar sling, is an effective method for the treatment of stress incontinence.