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首页> 外文期刊>Urology >A method for intraoperative adjustment of sling tension: prevention of outlet obstruction during vaginal wall sling.
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A method for intraoperative adjustment of sling tension: prevention of outlet obstruction during vaginal wall sling.

机译：术中调整吊索张力的方法：防止阴道壁吊索期间的出口阻塞。

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OBJECTIVES: To describe a simple, yet effective method of adjusting intraoperative tension on the suspending sutures of a vaginal wall sling placed for treatment of stress urinary incontinence (SUI) in the female patient. METHODS: A cystoscope sheath is placed per urethra and inclined to approximately 20 degrees to 30 degrees relative to horizontal. The suspension sutures are tied down directly onto the rectus fascia but do not indent it. The sheath should easily rotate in the vertical plane within the urethral lumen, maintaining elastic mobility as the sutures are tied. RESULTS: On review of the first 160 patients who have undergone vaginal wall sling using this technique of tension adjustment, no patient has had unexpected permanent urinary retention. Preoperative urgency incontinence has remained in 10 patients (less than 7%) postoperatively; 11 patients (6.8%) have had recurrent SUI during follow-up. CONCLUSIONS: Proper adjustment of suture tension during performance of a sling procedure for SUI iscritical in preventing urethral obstruction. The technique described is simple, objective, reproducible, and highly effective.
机译：目的：描述一种简单而有效的方法，用于调节用于治疗女性患者的压力性尿失禁（SUI）的阴道壁悬带的悬吊缝线的术中张力。方法：膀胱镜鞘放置在每个尿道上，相对于水平方向倾斜约20度到30度。悬吊缝合线直接绑在直肌筋膜上，但不压痕。鞘管应在尿道腔内的垂直平面内轻松旋转，并在缝合时保持弹性。结果：在对使用这种张力调节技术进行阴道壁悬吊术的前160名患者进行回顾时，没有患者出现意外的永久性尿retention留。术后仍有10例术前尿急性尿失禁（少于7％）。随访期间有11例（6.8％）SUI复发。结论：在执行SUI悬吊手术过程中正确调整缝线张力对于防止尿道阻塞至关重要。所描述的技术简单，客观，可重复且高效。

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