FIELD: medicine.
SUBSTANCE: type III urinary incontinence is corrected in previously operated patients. An anterior vaginal wall is incised; paraurethral spaces are mobilised; the skin is incised in a pubic region. A urethral sling tension is generated to provide urethral coaptation. The above sling is a synthetic band for sling operations containing perforator needles at the ends. The anterior vaginal wall is incised 0.5-1 cm in length within a middle one-third of the urethra. The paraurethral spaces are mobilised along an inner surface of pubic bones in the lateral direction 1-2 cm in length towards the pubic region. The band for sling operations are inserted by means of the perforator needles through the incision of the anterior vaginal wall along the paraurethral spaces, inserted into the skin incisions into the pubic region. The sling ends are tied up under an aponeurosis of the anterior abdominal wall subcutaneously with preserving the generated tension.
EFFECT: method enables eliminating type III urinary incontinence in the previously operated patients with coarse cicatrical adhesions surrounding the urinary tract.
1 dwg, 1 ex
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Authors
Dates
2015-10-27—Published
2014-11-11—Filed