Zuckerman Jack M, Shekarriz Bijan, Upadhyay Jyoti
Children's Hospital of the Kings Daughters, Eastern Virginia Medical School, Norfolk, Virginia 23507, USA.
Can J Urol. 2013 Feb;20(1):6603-6.
Continuous urinary incontinence in female patients can be a diagnostic dilemma if traditional imaging fails to identify a source. Vaginography has been used to diagnose vaginal ectopic ureters in the past with mixed results.
Institutional review board approval was obtained for a retrospective review. Five teenage females with continuous incontinence and prior negative imaging work ups underwent high pressure vaginography. Their findings and treatment outcomes are reviewed.
A vaginal ectopic ureter was diagnosed in each of the five patients at a mean age 15.8 years. Each had undergone prior magnetic resonance urography that was non-diagnostic. Four of the five were managed surgically with resolution of their incontinence. One was lost to follow up.
High pressure vaginogram should be considered during the work up of female patients with continuous urinary incontinence, especially when other imaging modalities fail to identify an etiology.
如果传统影像学检查未能找出病因，女性患者持续性尿失禁可能会成为诊断难题。过去曾使用阴道造影术诊断阴道异位输尿管，但结果不一。
本研究经机构审查委员会批准，进行回顾性分析。五名患有持续性尿失禁且之前影像学检查结果为阴性的青少年女性接受了高压阴道造影术。对她们的检查结果和治疗结果进行了回顾。
五名患者均被诊断为阴道异位输尿管，平均年龄为15.8岁。她们之前均接受过磁共振尿路造影检查，但均未得出诊断结果。五名患者中有四名接受了手术治疗，尿失禁症状得以缓解。一名患者失访。
对于患有持续性尿失禁的女性患者，尤其是在其他影像学检查方法未能找出病因时，应考虑进行高压阴道造影检查。
