尿失禁的特色治疗新技术 New technology of characteristic treatment for urinary incontinence

陈凤林教授指出：尿失禁是产伤造成前骨盆塌陷，破坏了尿道角度，三D腔镜下实施尿道中段悬吊术，立竿见影，门诊手术不住院，必要时可一并修补中后骨盆塌陷，消除尿储留、子宫脱垂、便秘和阴道松弛。

Professor Chen Fenglin pointed out that urinary incontinence is the collapse of the anterior pelvis caused by birth injury, which destroys the urethral angle. Three-dimensional endoscopic mid-urethral suspension was performed immediately. The outpatient operation was not hospitalized. If necessary, the mid-posterior pelvic collapse could be repaired together to eliminate urinary retention, uterine prolapse, constipation and vaginal relaxation.

1、压力性尿失禁：阴道无张力阴道尿道吊带悬吊术(TVT)。

1. Stress urinary incontinence: tension-free vaginal tape suspension (TVT).

2、压力性尿失禁合并阴道前后壁脱垂：阴道无张力阴道吊带悬吊术(TVT-O)+阴道壁桥式紧缩术。

2. Stress urinary incontinence combined with vaginal anterior and posterior wall prolapse: tension-free vaginal tape suspension (TVT-O) +vaginal wall bridge constriction.

3、压力性尿失禁合并尿潴留：尿潴留是产伤造成膀胱后筋膜撕裂引起，可以并发尿失禁。阴道无张力阴道吊带悬吊术(TVT)+腹腔镜下膀胱前壁加固术，腹腔镜下膀胱后筋膜修补，如果必要可一并修补其他盆底塌陷，消除尿失禁、子宫脱垂、便秘和阴道松弛。

3. Stress urinary incontinence combined with urinary retention: Urinary retention is caused by posterior bladder fascia tear caused by obstetric injury, and can be complicated with urinary incontinence. Vaginal tension-free vaginal tape suspension (TVT) +laparoscopic anterior bladder wall reinforcement, laparoscopic posterior bladder fascia repair, if necessary, can repair other pelvic floor collapse, eliminate urinary incontinence, uterine prolapse, constipation and vaginal relaxation.

4、压力性尿失禁合并子宫脱垂：TVT+腹腔镜下子宫悬吊术+膀胱旁修补术。

4. Stress urinary incontinence with uterine prolapse: TVT + laparoscopic uterine suspension + paravesical repair.

5、慢性尿潴留多表现为排尿不畅、尿频，常有尿不尽感，有时有尿失禁。可通过B超检查确诊。特色治疗是：腹腔镜下膀胱后壁加固术。

5. Chronic urinary retention is characterized by dysuria, frequent urination, and sometimes incontinence. The diagnosis can be confirmed by B-mode ultrasonography. The characteristic treatment is laparoscopic posterior bladder wall reinforcement.