urovestВестник урологииUrology Herald2308-6424Rostov State Medical University10.21886/2308-6424-2014-0-1-26-40urovest-65Research ArticleОБЗОРЫ ЛИТЕРАТУРЫREVIEWS ARTICLEСОВРЕМЕННЫЕ МЕТОДЫ ЛЕЧЕНИЯ НЕДЕРЖАНИЯ МОЧИ: ПЕТЛЕВЫЕ ОПЕРАЦИИ И МИНИСЛИНГИ (ЧАСТЬ 1)MODERN METHODS FOR TREATING URINARY INCONTINENCE: LOOP OPERATIONS AND MINI-SLINGS (PART ONE)КуприяновЮ. А.KupriyanovY. A.

Кафедра урологии

dr.kupriyanov@mail.ruГвоздевМ. Ю.GvozdevM. Y.

Кафедра урологии

gvozdev@mail.ruКасянГ. Р.KasyanG. R.

Кафедра урологии

g.kasyan@gmail.comПушкарьД. Ю.PushkarD. Y.

Кафедра урологии

pushkardm@mail.ruГБОУ ВПО Московский государственный медико- стоматологический университет Минздравсоцразвития РоссииРоссияDepartment of Urology Moscow State University Of Medicine And Dentistry, MoscowRussian Federation201420032014012640Copyright © Куприянов Ю.А., Гвоздев М.Ю., Касян Г.Р., Пушкарь Д.Ю., 20142014Куприянов Ю.А., Гвоздев М.Ю., Касян Г.Р., Пушкарь Д.Ю.Kupriyanov Y.A., Gvozdev M.Y., Kasyan G.R., Pushkar D.Y.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.urovest.ru/jour/article/view/65

В течение последнего столетия различные петлевые операции используются при лечении недержания мочи при напряжении. Методы лечения недержания мочи неразрывно связаны с развитием урологии как науки. Доминирование концепции о сфинктерной недостаточности как основной причины недержания мочи привело к использованию различных мышечных петель, которые, как полагали многие авторы, могли нести функциональную нагрузку. Со временем различные петли стали применяться для создания дозированной инфравезикальной обструкции в области шейки мочевого пузыря. Последнее десятилетие было ознаменовано значительными успехами и достижениями в лечении недержания мочи у женщин. Полученные сегодня данные дают право говорить, что, в целом, применение синтетических петель, устанавливаемых без натяжения в области средней уретры, позволяет избавить от недержания мочи значительное количество больных с этой медико-социальной проблемой во всем мире. Можно сказать, что с появлением минислингов и их использовании, в лечении недержания мочи появился новый этап. Концепция использования минислингов, для имплантации которых хирургу требуется один разрез под средней третью уретры, не является новаторской. Так Smith представил свою минипетлю, выполненную из кожи свиньи в 1987 году. Первым доступным для использования минислингом стал минислинг TVT Secur компании Gynaecare (Ethicon) в 2005 году. На сегодняшний день существует множество минипетель: TVT Secur®, MiniArc®, Ophira®, Adjust®, Solyx®, Zipper Sling®, Prosurg®, Tissue Fixation System®, Needleless®, Altis®, Just-swing®, Desara®. Многие производители не останавливаются и продолжают разрабатывать новые минислинги с новыми механизмами фиксации.

 

During the last century various loop operations are used in the treatment of stress urinary incontinence. Methods for treating urinary incontinence are inextricably linked with the development of urology as a science. Dominance concept of sphincter deficiency as the main cause of urinary incontinence led to the use of various muscle loops, which was considered by many authors, could carry the functional load. The last decade was marked by significant developments and achievements in the treatment of urinary incontinence in women. Data received today entitle say that, in general, the use of synthetic loops installed without tension in the middle of the urethra, to get rid of urinary incontinence significant number of patients with this medical and social problem worldwide. We can say that with the advent of SIMS and their use in the treatment of urinary incontinence, a new stage. The concept of using SIMS for implantation which the surgeon requires one incision under the middle third of the urethra, is not innovative. So Smith presented his minisling made of pig skin in 1987. First available for use SIMS became minisling TVT Secur company Gynaecare (Ethicon) in 2005. To date, there are many SIMS: TVT Secur®, MiniArc®, Ophira®, Adjust®, Solyx®, Zipper Sling®, Prosurg®, Tissue Fixation System®, Needleless®, Altis®, Just-swing®, Desara®. Many manufacturers do not stop and continue to develop new minislingi with new locking mechanisms.

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The authors declare that there are no conflicts of interest present.