Clinical application of single branch mesh total urethral suspension combined with biomechanical reconstruction of the posterior pelvic floor

doi:10.3877/cma.j.issn.1674-3253.2025.01.001

Abstract

Abstract:

The midurethral sling is the standard procedure for the surgical treatment of stress urinary incontinence.Our team designed the single branch mesh total urethral suspension combined with posterior pelvic biomechanical reconstruction based on the concept of physiological biomechanical reconstruction. According to the mechanism of female urinary control， the repair and reconstruction is based on the core concept of prenatal pelvic floor physiological morphology in terms of bladder neck closure ability， functional urethra length， and the support strength of the anorectalis muscle and perineal body to the bladder neck and mid and posterior urethra. Besides， the prolapsed anterior vaginal wall is physiologically repositioned， so that while curing stress urinary incontinence and prolapse of the anterior vaginal wall， the vaginal laxity can be repaired at the same time. This article details the technical points and efficacy of the procedure.

Key words: Stress urinary incontinence, Pelvic organ prolapse, Biomechanical reconstruction, Mesh, Surgical technique

Xingqi Wang, Jihong Shen. Clinical application of single branch mesh total urethral suspension combined with biomechanical reconstruction of the posterior pelvic floor[J]. Chinese Journal of Endourology(Electronic Edition), 2025, 19(01): 1-6.

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References 25

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