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合并尿道憩室和压力性尿失禁的手术治疗

Surgical treatment of concomitant urethral diverticulum and stress incontinence.

作者信息

Bass J S, Leach G E

机构信息

Department of Urology, Kaiser Permanente Medical Center, Los Angeles, California.

出版信息

Urol Clin North Am. 1991 May;18(2):365-73.

PMID:1902010
Abstract

Urinary incontinence is frequently associated with a urethral diverticulum in female patients. Preoperative evaluation including a thorough history and physical examination, voiding cystourethrogram, urethroscopy, and urodynamic studies can diagnose both the urethral diverticulum and any concomitant bladder-urethral dysfunction. Preoperative recognition of stress urinary incontinence or patients at risk for this problem postoperatively permits effective treatment with concomitant transvaginal bladder neck suspension and urethral diverticulectomy.

摘要

女性患者的尿失禁常与尿道憩室相关。术前评估包括详尽的病史和体格检查、排尿性膀胱尿道造影、尿道镜检查以及尿动力学研究,这些检查可诊断尿道憩室以及任何并发的膀胱尿道功能障碍。术前识别压力性尿失禁或术后有此问题风险的患者,有助于在同期行经阴道膀胱颈悬吊术和尿道憩室切除术时进行有效治疗。

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1
Surgical treatment of concomitant urethral diverticulum and stress incontinence.合并尿道憩室和压力性尿失禁的手术治疗
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Pubovaginal sling for treatment of female stress urinary incontinence complicated by urethral diverticulum.耻骨后阴道吊带术治疗合并尿道憩室的女性压力性尿失禁
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Combined diverticulectomy and anti-incontinence surgery for patients with urethral diverticulum and stress urinary incontinence: is anti-incontinence surgery really necessary?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?
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引用本文的文献

1
Urethral diverticulum: A systematic review.尿道憩室:一项系统综述。
Arab J Urol. 2019 Apr 8;17(1):49-57. doi: 10.1080/2090598X.2019.1589748. eCollection 2019 Mar.
2
Current evaluation and management of female urethral diverticula.女性尿道憩室的当前评估与管理
Curr Urol Rep. 2008 Sep;9(5):383-8. doi: 10.1007/s11934-008-0066-4.
3
Diagnosis of female diverticula using magnetic resonance imaging.利用磁共振成像诊断女性憩室
Adv Urol. 2008;2008:213516. doi: 10.1155/2008/213516.
4
TVT can also cause urethral diverticulum.经阴道无张力尿道中段悬吊带术也可导致尿道憩室。
Int Urogynecol J Pelvic Floor Dysfunct. 2007 Apr;18(4):467-9. doi: 10.1007/s00192-006-0146-2. Epub 2006 Jul 5.