16-MONTH EXPERIENCE WITH VIDEO-ASSISTED EXTRAPERITONEAL LAPAROSCOPIC BLADDER NECK SUSPENSION

被引：10

作者：

FRANKEL, G

KANTIPONG, M

机构：

[1] TRINITY MED CTR,DEPT UROL,CARROLLTON,TX

[2] TRINITY MED CTR,DEPT SURG,CARROLLTON,TX

[3] N TEXAS MED CTR,MCKINNEY,TX

来源：

JOURNAL OF ENDOUROLOGY | 1995年 / 9卷 / 03期

关键词：

D O I：

10.1089/end.1995.9.259

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

After an extensive favorable experience with the Lapides-Ball open retropubic bladder neck suspension, we chose to perform this operation laparoscopically. We describe video-assisted extraperitoneal laparoscopic bladder neck suspension (VELBNS), in which we employ a single laparoscopic cannula and a laparoscopic bladder suspension set for suturing and simultaneously use video-assisted cystoscopy and laparoscopy for precise suture placement. Over 16 months, we operated on 70 patients with stress urinary incontinence secondary to hypermobility of the urethra. We describe the patient evaluation and selection and the surgical principles and techniques. Five procedures were converted to open operations because of bladder lacerations (two cases) or inability to dissect the space of Retzius because of scar tissue (three cases). At 3 months, 4 patients had unresponsive de novo urgency incontinence, and 61 patients were dry without protection. One patient had a recurrence at 6 months that was corrected by open surgery. All 12 patients seen at 1 year were dry. We intend to survey our patients annually to obtain long-term results.

引用

页码：259 / 264

页数：6

共 10 条

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