Functional retrourethral sling. A change of paradigm in the treatment of stress incontinence after radical prostatectomy

被引：9

作者：

Gozzi, C. ^{[1
]}

Bauer, R. M. ^{[1
]}

Becker, A. J. ^{[1
]}

Schorsch, I. ^{[1
]}

May, F. ^{[1
]}

Rehder, P. ^{[2
]}

Stief, C. G. ^{[1
]}

Bastian, P. J. ^{[1
]}

机构：

[1] Ludwig Maximilians Univ Munchen Grosshadern, Klinikum, Urol Klin & Poliklin, D-81377 Munich, Germany

[2] Univ Innsbruck, Neurol Klin, A-6020 Innsbruck, Austria

来源：

UROLOGE | 2008年 / 47卷 / 09期

关键词：

functional retrourethral sling; radical prostatectomy; male incontinence; male sling; suspension;

D O I：

10.1007/s00120-008-1840-0

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：

The ever rising number of radical prostatectomies entails an increasing number of patients suffering from postoperative stress incontinence. Several minimally invasive techniques exist as surgical intervention options. All these procedures are based on an obstruction of the urethra. The functional retrourethral sling is a new and innovative sling suspension, which offers for the first time a non-obstructive functional therapeutic approach. The sling adjusts the changed anatomy after radical prostatectomy and exerts its effect by repositioning the lax and descended supporting structures of the sphincter in the former preoperative position. Thus continence can be achieved again. The success rate of this new technique is very good, yielding good results regarding both improving incontinence and continence rate. This new technique is secure and the results are reproducible.

引用

页码：1224 / 1228

页数：5

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