子宫托与尿道周围胶原蛋白注射联合用于子宫阴道脱垂和真性压力性尿失禁的非手术治疗
Combination of pessary and periurethral collagen injections for nonsurgical treatment of uterovaginal prolapse and genuine stress urinary incontinence.
作者信息
Walters M D, Iannetta L T
机构信息
Department of Gynecology and Obstetrics, The Cleveland Clinic Foundation, Ohio 44195, USA.
出版信息
Obstet Gynecol. 1997 Oct;90(4 Pt 2):691-2. doi: 10.1016/s0029-7844(97)00260-3.
BACKGROUND
The combination of severe uterovaginal prolapse and stress urinary incontinence in medically compromised patients in whom surgery is contraindicated is a difficult treatment dilemma.
CASE
A 75-year-old woman with severe cardiac compromise and a history of pulmonary embolus presented with severe uterovaginal prolapse and stress urinary incontinence. The combination of a vaginal pessary and three periurethral collagen injections resulted in successful management of her prolapse and resolution of her stress urinary incontinence.
CONCLUSION
Although pessaries are frequently a satisfactory treatment option for women with severe uterovaginal prolapse, the appearance or worsening of urinary incontinence may make the option of pessary use less attractive. The addition of periurethral collagen injections will improve or cure urinary incontinence symptoms.
背景
对于存在手术禁忌的身体状况不佳的患者，严重子宫阴道脱垂与压力性尿失禁并存是一个棘手的治疗难题。
病例
一名75岁女性，有严重心脏问题且有肺栓塞病史，出现严重子宫阴道脱垂和压力性尿失禁。阴道子宫托联合三次尿道周围胶原注射成功解决了她的脱垂问题，并缓解了压力性尿失禁。
结论
尽管子宫托通常是严重子宫阴道脱垂女性的一种令人满意的治疗选择，但尿失禁的出现或加重可能使使用子宫托的选择吸引力降低。添加尿道周围胶原注射将改善或治愈尿失禁症状。
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