초록 ▼

The surgical treatment of stress urinary incontinence is described. The methods include: 1) a technique of probe passage to avoid injuring the bladder and to provide a more accurate and reproducible capture of the pubocervical fascia lateral to the bladder neck and urethra, 2) anchor fixation of the

The surgical treatment of stress urinary incontinence is described. The methods include: 1) a technique of probe passage to avoid injuring the bladder and to provide a more accurate and reproducible capture of the pubocervical fascia lateral to the bladder neck and urethra, 2) anchor fixation of the suspending sutures to the pubic bone to decrease the risk of suture pull through from above and to decrease post-operative pain and 3) a simple and reproducible technique to set a limited tension of the suspending sutures. A description of these methods and results of procedures with some of these methods are included. Novel drill guides, suture passers, suture tensioners, and various related tools and devices for use in the surgical method are also discussed.

대표청구항 ▼

[ I claim:] [1.] A method of suspending a first tissue mass from a second tissue mass with a preselected tension, comprising the steps of:providing a suture, said suture having at least a first portion, a second portion, and a third portion, the first portion of said suture being between the second

[ I claim:] [1.] A method of suspending a first tissue mass from a second tissue mass with a preselected tension, comprising the steps of:providing a suture, said suture having at least a first portion, a second portion, and a third portion, the first portion of said suture being between the second and third portions of said suture;positioning the first portion of said suture around the first tissue mass;securing at least one of the second and third portions of said suture to the second tissue mass;positioning a suture tensioner having a preselected cross-sectional area between said suture and either of the first or second tissue masses;tying the second and third portions of said suture; and thereafterremoving the suture tensioner to produce an amount of slack in said suture corresponding to the cross-sectional area of the suture tensioner.