Wang Shu, Lang Jing He, Zhou Hui Mei
Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Beijing, China.
Int Urogynecol J Pelvic Floor Dysfunct. 2009 Apr;20(4):401-6. doi: 10.1007/s00192-008-0783-8. Epub 2008 Dec 18.
Most of urological abnormalities in urogenital anomalies are asymptomatic and need no special treatment; however, a few patients have critical urinary complaints and surgical corrections are required for them. Unfortunately, these coexisting urinary problems are often neglected and failed to be treated. So, it is necessary to delineate the diagnosis and treatment of similar anomalies. Eight typical patients who had urogenital anomalies with urinary discomfort in our institution were excerpted and reported. In this series, the urinary symptoms ranged from cyclical hematuria and urinary incontinence to infection symptom. The involved urological anatomies were generally categorized into three types: abnormal communication of urogenital tracts, malformation of bladder or ectopic ureter, and anomalies of urethral orifice. Surgical corrections were helpful for most cases. For patients with genitalia anomalies, the coexisting urological defects should be highlighted by our gynecologists, especially when they are symptomatic and require surgical correction.
泌尿生殖系统异常中的大多数泌尿系统异常是无症状的,无需特殊治疗;然而,少数患者有严重的泌尿系统症状,需要进行手术矫正。不幸的是,这些并存的泌尿系统问题常常被忽视且未得到治疗。因此,有必要明确此类异常的诊断和治疗方法。本文摘录并报告了在我院患有泌尿生殖系统异常且伴有泌尿系统不适的8例典型患者。在这组病例中,泌尿系统症状包括周期性血尿、尿失禁以及感染症状等。所涉及的泌尿系统解剖结构一般分为三种类型:泌尿生殖道异常连通、膀胱畸形或异位输尿管以及尿道口异常。手术矫正对大多数病例有效。对于患有生殖器异常的患者,我们的妇科医生应重视并存的泌尿系统缺陷,尤其是当这些缺陷有症状且需要手术矫正时。