[The mini-invasive surgery of stress urinary incontinence (SUI): the use of the Vesica kit].

M Simonazzi, M Larosa, N Sebastio, S Ferretti, P Salsi, P Cortellini
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Abstract

From February 1996 to March 1997, we have performed with the Vesica system the percutaneous bladder neck suspension in 13 pts (group 1) and the vaginal wall sling in 7 pts (group 2). After a mean follow-up of 12 months for group 1, 10 patients (76.9%) were "dry", 1 pt "improved" and 2 "failed"; in the group 2 (mean follow-up of 5 months) 6 pts/7 were "dry". Overall morbidity has been minimal. The percutaneous bladder neck suspension and the vaginal wall sling with Vesica system are minimally invasive surgical procedures for the urinary stress incontinence (hypermobility of bladder outlet and intrinsic sphincter deficiency).

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[微创手术治疗压力性尿失禁:Vesica试剂盒的应用]。
从1996年2月到1997年3月,我们用Vesica系统进行了13例经皮膀胱颈悬吊术(第一组)和7例阴道壁悬吊术(第二组)。第1组平均随访12个月后,10例(76.9%)患者“干燥”,1例“改善”,2例“失败”;在第二组(平均随访5个月)中,7例患者中有6例为“干性”。总体发病率极低。经皮膀胱颈悬吊和阴道壁悬吊结合Vesica系统是治疗压力性尿失禁(膀胱出口活动过度和内在括约肌缺陷)的微创手术方法。
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