Which hospital does Kunming female stress urinary incontinence go to for surgery?

Analysis of the main surgical methods of stress urinary incontinence at present

Tension-free middle urethral suspension is a highly recommended surgical method in the "Guidelines for Diagnosis and Treatment of Female Stress Urinary Incontinence" compiled by Urology Branch of Chinese Medical Association.

The biggest progress of the operation is to put forward a new concept of tension-free sling placement, which reduces postoperative complications such as dysuria and urethral erosion and improves the cure rate of the operation. According to the different surgical paths, it can be divided into tension-free middle urethral suspension via pubic and tension-free middle urethral suspension via obturator.

1. Tension-free posterior urethral sling: TVT, anterior IVS and SPARC. TVT operation was first reported by Dr Ulmsten of Sweden in 1996. The sling is inserted through the vaginal incision and through the pubic symphysis to raise the middle urethra. Intraoperative bleeding, infection and other complications are few, postoperative indwelling catheterization and hospitalization time are short, and recovery is fast. The sling used does not absorb water, is durable and has little rejection reaction.

After 10 years of clinical application, the cure rate is over 86%. Anterior IVS puncture is the same as TVT puncture, but the difference is that TVT puncture needle is sharp, while IVS puncture needle is blunt, so the possibility of bladder injury seems to be less. The principle of SPARC is the same as TVT and pre-IVS, but the puncture direction is opposite to them, from a small incision on pubic symphysis to vagina.

2. Tension-free urethral suspension via obturator: There are mainly two methods, TOT and TVT-O. In 2003, De Leval proposed TVT-O on the basis of improving TVT. The main difference of TVT-O is that the puncture path does not pass through retropubic space, but through the vagina close to the obturator foramen on both sides, away from bladder, urethra and retropubic space. So as to reduce complications such as injury, bleeding, hematoma formation, etc., without routine cystoscopy, and further improve the safety of the operation. Waltregny and others showed that the objective cure rate of TVT-O was 90.2%.

{Hello, this kind of operation belongs to endocrinology department, so it can be done in any general hospital, and it is not too complicated. Dayun Hospital (Grade III A) Tianlun Maternity Hospital. . . Anything, as long as it is a regular hospital.

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