在禁止跨阴道网之前和之后的落修复方法的趋势
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Updated: Aug 6, 2026

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Transvaginal Mesh Insertion in the Ovine Model
Published on: July 27, 2017
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Shannon Leung1, Annie Chen1,2, Laura Oscar-Thompson2
1University of Texas Health Science Center at Houston, Houston, Texas.
Urology practice
|October 7, 2025
概括
在泌尿外科和康复性骨盆外科 (URPS) 接受过培训的泌尿科医生更快地适应了经阴道网 (TVM) 替代品来修复骨盆器官脱落 (POP). 经过URPS培训的外科医生现在在TVM警告和禁令后进行大多数POP维修.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇科 妇科医生 妇科
- 外科手术实践模式的模式
背景情况:
- 经阴道网 (TVM) 从2002年开始被广泛用于骨盆器官脱落 (POP) 修复.
- 对并发症的担忧导致美国食品和药物管理局 (FDA) 在2008年发出警告,并在2019年禁止使用.
- 在POP修复中实践模式的变化是基于外科医生培训进行分析的.
研究的目的:
- 为了比较尿道内科和康复性骨盆外科 (URPS) 培训和非URPS培训的泌尿科医生之间的POP修复技术的变化.
- 评估在FDA警告和禁止TVM之后的实践适应.
- 评估专业培训对手术结果和技术采用的影响.
主要方法:
- 对美国泌尿病学会2001-2022年病例日志的分析.
- 通过当前程序术语代码识别POP修复案例.
- 手术方法的分类 (阴道与/或没有TVM,腹部) 和泌尿科医生培训 (URPS与非URPS).
主要成果:
- 最初TVM的使用急剧增加 (URPS的9200%,到2005年非URPS的558%).
- 在2008年FDA警告之后,URPS泌尿科医生更早地转向非TVM技术.
- 在2019年禁令之后,URPS泌尿科医生进行了更多的腹部和阴道POP修复,到2021年,POP修复病例占主导地位.
结论:
- 随着FDA的行动,URPS和非URPS泌尿科医生都减少了TVM的使用.
- 经过URPS培训的泌尿科医生表现出更快的适应非TVM POP修复技术.
- 在URPS的专业培训与更多采用替代POP修复方法和增加案例量后TVM限制有关.
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