UNLABELLED:There exist many surgical procedure for the treatment of urinary incontinence. Most of them require relatively extensive surgery and several days hospitalization. The advantage of tension-free vaginal tape procedure is a possibility to be performed on an ambulatory basis and under local anesthesia. OBJECTIVES:The aim of the study was to evaluate the results and morbidity of TVT procedure in genuine urinary stress incontinence. MATERIAL AND METHODS:The study group consists of 26 women, aged 39-69, suffering from genuine stress incontinence class I to III according to Stamey classification. The operation was carried out under epidural anesthesia. The procedure was performed as described by Ulmsten at al. The period of follow-up ranged from 3 to 20 month. RESULTS:The mean time of procedure was 26 minutes (range 18-43). The stay in hospital in 23 patient (88.46%) did not exceed 2 days. Three patients experienced urinary retention lasting four days requiring catheterization. No patients had bladder perforations or severe blood loss. No evidence of defect healing or rejection of the tape was found. Twenty four patients (92.31%) of patients were completely cured, 2 patients (7.69%) had considerably improved urinary continence. CONCLUSIONS:Our early study indicate that TVT procedure is effective and safe method of the surgical treatment of urinary stress incontinence in women.

译文

贴标签:存在许多用于治疗尿失禁的外科手术方法。他们中的大多数需要相对广泛的手术和几天的住院治疗。无张力阴道带手术的优点是可以在非卧床和局部麻醉下进行。
目的:本研究的目的是评估TVT手术在真正的尿液压力性尿失禁中的结果和发病率。
材料与方法:研究小组由26名年龄在39-69岁的女性组成,根据Stamey分类,他们患有真正的压力性尿失禁I至III级。手术是在硬膜外麻醉下进行的。该过程按照Ulmsten等人的描述进行。随访期为3到20个月。
结果:平均手术时间为26分钟(范围18-43)。 23名患者(88.46%)的住院时间不超过2天。三名患者经历了持续四天的尿retention留,需要导尿。没有患者有膀胱穿孔或严重失血。没有发现缺陷修复或胶带被拒收的证据。 24例患者(92.31%)完全治愈,2例患者(7.69%)尿失禁明显改善。
结论:我们的早期研究表明,TVT手术是治疗女性尿失禁的有效且安全的方法。

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