Elongating and tightening the posterior urethra for treatment of stress urinary incontinence in women (report of 12 cases)
- VernacularTitle:延长和缩窄后尿道治疗女性压力性尿失禁(附12例报告)
- Author:
Jiangchun LI
;
Dehui GUAN
;
Junduo FENG
- Publication Type:Journal Article
- Keywords:
Female;
Stress incontinence;
Therapeutics
- From:
Chinese Journal of Urology
2000;0(05):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To present the management of increasing the closure stress of urethra for treatment of stress urinary incontinence in women. Methods In 12 patients with stress incontinence the posterior urethra and the anterior wall of the bladder was incised.Then the wall of posterior urethra,bladder neck and bladder trigone were trimmed and sutured to form a tube whereby to elongate and tighten the posterior urethra referring to Campbell-Young's way and according to Laplace's law. Results The mean period of post-operative follow-up was 8.8 years.Eleven patients could completely control their urinating without residual urine after the operation.The short-term and long-term outcomes were the same in these 11 patients.For the remaining one patient little urine was spilt when the abdominal pressure was increased with exertion. Conclusions Elongating and tightening the posterior urethra is simple,effective and safe for treatment of stress urinary incontinence in women.