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| med:pubovaginal_sling [2012/03/29 09:39] – V_L | med:pubovaginal_sling [2016/07/10 09:50] (현재) – 바깥 편집 127.0.0.1 | ||
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| + | ======Pubovaginal Sling====== | ||
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| + | Pubovaginal Sling Procedure | ||
| + | by Jeffrey P. Norris, M.D. | ||
| + | Originally appeared in Urology Update, the patient newsletter of Northwest Suburban | ||
| + | Urologists, LTD. | ||
| + | The pubovaginal sling procedure is a well-tolerated minimally invasive surgical | ||
| + | procedure that is performed for treatment of stress urinary incontinence. This is done | ||
| + | through a small vaginal incision. Tiny titanium screws are placed in the pelvic bone on | ||
| + | both the sides of the urethra. These screws are attached to sutures that support a | ||
| + | rectangular strip of durable tissue that is passed beneath the urethra. This rectangular | ||
| + | patch supports the urethra and the bladder, so that the leakage does not occur during | ||
| + | coughing, sneezing, laughing or other physical activities. The patients typically do not | ||
| + | require more than one day of hospitalization and sometimes can go home on the same | ||
| + | day. | ||
| + | Many times, this procedure will be performed in conjunction with cystocele repair | ||
| + | surgery. A cystocele is a name for a dropped bladder, and this can be repaired by pulling | ||
| + | the pelvic muscles together, so that the bladder can no longer drop and cause bulging or | ||
| + | pressure through the vagina. | ||
| + | As with any surgery, there are potential risks but they occur infrequently. Your | ||
| + | surgeon should discuss these risks with you prior to surgery. You should also be aware | ||
| + | that following sling surgery and prolapse repair, it is not uncommon to have symptoms of | ||
| + | double voiding, slow urinary stream, frequent urination and sense of urinary urgency. | ||
| + | When these symptoms occur they often improve with time, but may need to be treated | ||
| + | with medicine, behavioral/ | ||
| + | important to have realistic expectations when considering surgery for stress urinary | ||
| + | incontinence and vaginal prolapse. As surgeons, our goal is to improve bladder control | ||
| + | and pelvic health. It is usually not possible to restore a patient’s condition to the way it | ||
| + | was before there was ever a problem. | ||
| + | In conclusion, the pubovaginal sling procedure and cystocele repair surgery are | ||
| + | typically well-tolerated minimally invasive surgical procedures that effectively treat | ||
| + | female stress urinary incontinence and pelvic floor prolapse. | ||
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| + | * 관련: {{backlinks> | ||
| + | * 출처: [[http:// | ||
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