Williams D I
Eur Urol. 1975;1(3):129-30.
Rupture of the female urethra is a rare disorder, but perhaps more liable to occur in childhood than in adult life. As in the male, it can follow a fractured pelvis, but the level of the rupture is not simply in the membranous region, and is frequently much higher with destruction of the urethra over a considerable length. The vagina is always involved, so that almost inevitably there is a urethra-vaginal fistula. In the low lesions the bladder and urethral function may be adequate, but stenosis of the vaginal introitus can result in a considerable hydrocolpos, leading to a spurious form of incontinence. In the higher lesions true incontinence can occur, and there may be stricturing of the urethra above or below the urethro-vaginal fistula. Methods of surgical repair are discussed.
女性尿道破裂是一种罕见的病症，但在儿童期可能比成年期更易发生。与男性一样，它可继发于骨盆骨折，但破裂部位不仅仅在膜部，而且常常更高，尿道在相当长的一段长度上遭到破坏。阴道总是受累，因此几乎不可避免地会出现尿道阴道瘘。在低位损伤时，膀胱和尿道功能可能正常，但阴道入口狭窄可导致相当严重的阴道积水，进而导致一种假性失禁。在高位损伤时，可出现真性失禁，并且在尿道阴道瘘上方或下方的尿道可能出现狭窄。本文讨论了手术修复方法。
