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[用于治疗压力性尿失禁的尿道下吊带导致的尿道阴道瘘。两例报告并文献复习]

[Urethrovaginal fistulae resulting from sub-urethral slings for stress urinary incontinence treatment. A report of two cases and review of the literature].

作者信息

Estevez J-P, Colin P, Lucot J-P, Collinet P, Cosson M, Boukerrou M

机构信息

Service de gynécologie, hôpital Jeanne-de-Flandre, CHU de Lille, 59037 Lille cedex, France.

出版信息

J Gynecol Obstet Biol Reprod (Paris). 2010 Apr;39(2):151-5. doi: 10.1016/j.jgyn.2009.12.001. Epub 2010 Jan 22.

Abstract

Urethrovaginal fistula is an extremely rare condition after surgical treatment of stress urinary incontinence using a suburethral sling. We report two cases of urethrovaginal fistulae after surgical treatment of stress urinary incontinence using polypropylene monofilament material, that have been managed with clinical evaluation, removal of the sling and treatment of the fistula. It is a rare but severe and invalidating complication of "mini-invasive" techniques, not just for the functional results but also for the patient's social condition. The aim of this article is to describe clinical presentation and treatment of this complication that every surgeon practicing vaginal surgery should know and keep in mind when recurrent SUI.

摘要

尿道阴道瘘是使用尿道下吊带进行压力性尿失禁手术治疗后极为罕见的一种情况。我们报告了两例使用聚丙烯单丝材料进行压力性尿失禁手术治疗后发生尿道阴道瘘的病例,通过临床评估、取出吊带及治疗瘘管进行了处理。这是一种罕见但严重且导致功能丧失的“微创手术”并发症,不仅影响功能结果,还影响患者的社会状况。本文旨在描述这种并发症的临床表现及治疗方法,每位从事阴道手术的外科医生在复发性压力性尿失禁时都应了解并牢记。

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