Pubovaginal slings: Past, present and future

被引：22

作者：

Sarver R. ^{[1
]}

Govier F.E. ^{[1
,2
]}

机构：

[1] Department of Urology and Renal Transplantation, Virginia Mason Medical Center, Seattle, WA

[2] Section of Urology and Renal Transplantation, Virginia Mason Medical Center, Seattle, WA 98111

来源：

International Urogynecology Journal | 1997年 / 8卷 / 6期

关键词：

Cadaveric sling; Fascia lata; Intrinsic sphincteric deficiency; Pubovaginal sling; Stress urinary incontinence;

D O I：

10.1007/BF02765597

中图分类号：

学科分类号：

摘要：

Renewed interest in the pubovaginal sling procedure for stress urinary incontinence has occurred in response to recent reports of poor durability and inconsistent efficacy associated with simple cystourethropexy. Many of the failures are felt to represent patients with an unrecognized component of intrinsic sphincteric deficiency. Historically slings have a favourable cure rate, but have been perceived as having unacceptably high rates of prolonged urinary retention and secondary detrusor instability. This article reviews the preoperative evaluation and indications for pubovaginal slings, describes the evolution of the current techniques, and discusses choice of sling material, surgical approach, results and complications. It is hoped that this review will stimulate interest in this versatile but technically challenging procedure.

引用

页码：358 / 368

页数：10

共 58 条

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