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首页> 外文期刊>BJU international >The use of porcine dermal implant in a minimally invasive pubovaginal sling procedure for genuine stress incontinence.
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The use of porcine dermal implant in a minimally invasive pubovaginal sling procedure for genuine stress incontinence.

机译:猪真皮植入物在微创耻骨阴道吊带手术中的使用,可真正缓解压力性尿失禁。

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摘要

Objective To assess the outcome of a suburethral sling using a porcine dermal implant (Pelvicoltrade mark, Bard Urology, UK) in the surgical management of urinary stress incontinence. Patients and methods Forty women with urodynamically confirmed genuine stress incontinence were recruited into the study and followed up at 6 weeks and at least 6 months (mean 12 months, range 6-18). The sling was inserted using a minimal-access technique, which allowed 23 women to be operated as day-cases. Outcome measures included continence rates, voiding dysfunction, satisfaction scores and whether the patients would recommend the operation to a friend or relative. Results The cure rate was 85%, with sustained benefit; a further 10% of the women were improved by surgery. Voiding dysfunction rates were low and satisfaction scores high. Most women would undergo the procedure again if they became incontinent in the future and would recommend the procedure to a friend or relative. Conclusion A minimal access pubovaginal sling using Pelvicoltrade mark is effective in treating stress incontinence. The complication rate is low and the procedure can be performed as a day-case with no loss of efficacy.
机译:目的评估在猪尿道压力性尿失禁的外科治疗中使用猪皮植入物(Pelvicoltrade mark,Bard Urology,UK)的尿道下吊带的效果。患者和方法招募了40名经尿动力学检查证实为真正的压力性尿失禁的女性,并在6周和至少6个月时进行了随访(平均12个月,范围6-18)。吊索是使用最小限度的技术插入的,该技术允许23名妇女在日间进行手术。结果指标包括失禁率,排尿障碍,满意度得分以及患者是否会推荐给朋友或亲戚手术。结果治愈率为85%,持续有效。另外有10%的妇女通过手术得到了改善。呕吐功能障碍率低,满意度得分高。如果她们将来变得大小便失禁,大多数妇女会再次接受该手术,并会推荐给朋友或亲戚。结论使用Pelvicoltrade标记的最小限度进入耻骨阴道吊带可有效治疗压力性尿失禁。并发症发生率低,并且该程序可以在一天的情况下执行,而不会降低疗效。

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