Method of surgical treatment of the stress urinary incontinence to women

摘要

the invention relates to medicine, in particular in urology. the proposed method consists in that the bladder is inserted in a catheter balloon urethral foley, in which rubber is 7 10 ml of physiological solution and determine the position of the bladder neck, as well as the jonctiunii uretro - bladder.then with a borderline incision mark, without decoletare, a portion of the vaginal wall previously form trapezoid, set above jonctiunii uretro - bladder. median vaginal wall incision is performed previously at 1 cm below the urethral mucosa meatul until crossing the cervix, bypassing, however, the portion marked.it performs decoletarea vaginal mucosa in directions lateral to the portion, and then vaginal walls of the bladder and urinary bladder of cervix. vaginal wall of the trapezoid with urethral segment vezico - previously, in position optimala, resect a triangular shaped flap, with the base points to the cervix.after this, it restores the integrity suturand portion obtained after resect the lamboului edges, triangular shape. the edges of the sides of the spiral portion is obtained sutureaza wires suspended. above the pubic symphysis horizontal incision of the skin is carried out until aponevroza muscles recti abs with lingimea 4 cm.at one of the edges of the incision with a needle horizontal drill is carried out a aponevrozei muscles recti abs, shun simfiza, bladder through space retzius out side of the urethra. two ends of the wire, the other side edge near the bladder neck through proper lamboului through needle, drill and remove in suprapubiana incision.handling is repeated on the opposite side. with the help cistouretroscopului strain controlling is carried out till the time obstructiei suture retainer visual jonctiunii uretro - bladder, after which they are linked in pairs. it sutureaza suprapubiana incision.stitching yarn is carried out parauretrali muscles with separate nylon, it removes cistocelul, runs repozitia of bladder. it removes the lining of the vaginal sutureaza previously and this is continuous with vicril thread.