经闭孔张力装置胶带用于失败的中尿道吊带何时及如何使用?

Aso Omer Rashid
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引用次数: 0

摘要

背景与目的:女性尿失禁是影响成年女性的重要健康问题,大多数患有压力性尿失禁。它会影响生活质量。术后复发对患者和外科医生来说都是困难的。没有精确的数据显示如何处理失效的透闭器胶带。在尿道中部施加适当的张力以纠正尿失禁的另一种方法是带张力的经闭锁带。我们描述了我们的经验来评估第二次张力尿道中吊带治疗第一次尿道中吊带失败后复发性尿失禁的结果。方法:2012年10月至2019年3月进行前瞻性队列研究。共有16例经闭孔带手术失败的患者接受了第二次经闭孔中尿道吊带手术。记录术前资料及术后并发症。所有患者随访1年。结果:对16例尿道中悬吊手术失败的妇女进行了评价。平均随访7.5个月,治愈率为62.5%(16例患者中有10例)。25%(16例患者中有4例)部分治愈(改善),2例患者失败(12.5%)。手术后棉签测试和棉垫数量有统计学上的显著改善。结论:重复通气带张力治疗效果良好,成功率合理。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Trans-Obturator Tension Appliance Tape for failed Mid-Urethral Sling when and how?
Background & Objectives: Female urinary incontinence is a significant health issue affecting adult women, most suffering from stress incontinence. It affects the quality of life. Recurrence after surgery is difficult for the patients and the surgeon. There is no precise data to show how to treat failed Transobturator tape. Transobturator tape with tension may be an alternative method in applying proper tension in the mid urethra to correct the incontinence. We describe our experience to evaluated outcomes of the second mid-urethral sling with tension to treat recurrent incontinence after the failure of the first mid-urethral sling. Methods: A prospective cohort study was conducted between Oct. 2012 to March 2019. A total of 16 patients with failed Transobturator tape surgery underwent second trans-obturator Mid-Urethral Sling surgery. Preoperative data and postoperative complications were recorded. All patients were followed for one year. Results: Sixteen women after failed Mid-Urethral Sling surgery were evaluated. At a mean follow-up of 7.5 months, the cure rate was 62.5% (10 out of 16) patients. Partial cure (improvement) was achieved in 25% ( 4 patients out of 16) and failure in 2 patients, 12.5%. There were statistically significant improvements after surgery in the Q-tip test and the number of the pads. Conclusion: Repeat Transobturator tape with tension treatment tends to result in good outcomes with a reasonable physician-determined success rate.
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