Blaivas J G
Department of Urology, College of Physicians and Surgeons, Columbia University, New York, New York.
Urol Clin North Am. 1991 May;18(2):355-63.
Damage to the urethra may be functional or anatomic. In the former, to some extent, the urethra functions merely as a tube. Anatomic damage ranges from small urethrovaginal fistulas to total loss of the urethra, vesical neck, and trigone. For functional damage, the goal is compression of the proximal urethra, and the author favors a pubovaginal fascial sling, which is described. In the author's view, the best results in anatomic loss are obtained by performing an appropriate anti-incontinence procedure at the time of urethral reconstruction.
尿道损伤可能是功能性的或解剖性的。对于前者，在某种程度上，尿道仅起到管道的作用。解剖性损伤范围从小的尿道阴道瘘到尿道、膀胱颈和三角区的完全缺失。对于功能性损伤，目标是压迫尿道近端，作者倾向于使用耻骨阴道筋膜吊带，对此进行了描述。在作者看来，解剖性缺失时通过在尿道重建时进行适当的抗尿失禁手术可获得最佳效果。
