尿失禁と膣部膀胱瘤に対するStamey法の経験

Abstract

1)腹圧性尿失禁4名とcystocele vaginalis 4名に対してStamey法を施行し, 術後半年の現在, 満足すべき結果を得た.2)腹圧性尿失禁を認める高年群は若年群に比しchain cystourethrogramにて後部尿道角, および尿道傾斜角が大きくまた膀胱底部が下降する傾向が強く, 若年群と高年群の腹圧性尿失禁の発生機序に違いがある印象を受けた

Endoscopic needle suspension of the vesical neck (Stamey) was used in 4 cases of stress incontinence and 4 cases of cystocele vaginalis. In cystocele vaginalis, this method was done following anterior colporrhaphy. In postoperative examination of chain cystourethrogram, posterior urethrovesical angle, anterior urethral inclination angle and base plate of bladder were remarkably improved. In the 13 other women with stress incontinence, chain cystourethrogram showed that posterior urethrovesical angle and anterior urethral inclination angle were greater and bladder base plate was lower in the older group (over 50 years) than in the younger group (under 50 years). These results indicated that there were some difference in the factors of stress incontinence between the younger group and older group with stress incontinence.