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尿道憩室合并压力性尿失禁患者的憩室切除术与抗尿失禁手术联合治疗:抗尿失禁手术真的有必要吗?

Combined diverticulectomy and anti-incontinence surgery for patients with urethral diverticulum and stress urinary incontinence: is anti-incontinence surgery really necessary?

作者信息

Juang Chi-Mou, Horng Huann-Cheng, Yu Hung-Chuan, Chen Chih-Yao, Chang Chia-Ming, Yu Ken-Jen, Yen Ming-Shien

机构信息

Division of Urogynecology, Department of Obstetrics and Gynecology, Veterans General Hospital, Taipei, Taiwan.

出版信息

Taiwan J Obstet Gynecol. 2006 Mar;45(1):67-9. doi: 10.1016/S1028-4559(09)60195-9.

Abstract

OBJECTIVE

Urethral diverticulum has been identified in 0.6-6% of women and is diagnosed most frequently in the third to fifth decades. Combined diverticulectomy and anti-incontinence surgery are usually undertaken for patients with urethral diverticulum who present with symptoms of stress urinary incontinence. However, this approach may not always be necessary.

CASE REPORT

We report two cases with urethral diverticulum and stress urinary incontinence successfully treated with diverticulectomy only.

CONCLUSION

This clinical approach could avoid the potential complications of anti-incontinence surgery.

摘要

目的

尿道憩室在0.6%至6%的女性中被发现,最常见于30至50岁。对于出现压力性尿失禁症状的尿道憩室患者,通常采用憩室切除术和抗尿失禁手术联合治疗。然而,这种方法并非总是必要的。

病例报告

我们报告了两例仅通过憩室切除术成功治疗的尿道憩室和压力性尿失禁病例。

结论

这种临床方法可以避免抗尿失禁手术的潜在并发症。

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