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经阴道膀胱颈悬吊术后钬激光膀胱镜下缝线拆除术

Cystoscopic suture removal by Holmium-YAG laser after Burch procedure.

作者信息

Karaşahin Emre Kazım, Esin Sertaç, Alanbay Ibrahim, Ercan Mutlu Cihangir, Mutlu Erol, Başer Iskender, Basal Seref

机构信息

Department of Obstetrics and Gynecology, Gulhane Military Medical Faculty, Ankara, Turkey.

Department of Urology, Gulhane Military Medical Faculty, Ankara, Turkey.

出版信息

J Turk Ger Gynecol Assoc. 2011 Mar 1;12(1):56-8. doi: 10.5152/jtgga.2011.13. eCollection 2011.

Abstract

Burch colposuspension remains one of the successful operations performed for stress incontinence. Accidental suturing of the bladder wall during the procedure or subsequent erosion may lead to lower urinary tract symptoms. Diagnosis and management of these sutures indicate precise evaluation for which a 70 degree cystoscope is used. In selected cases, Holmium-YAG laser may enable us to manage long-standing, encrustated neglected sutures. Here we would like to report successful removal of intravesical sutures using the Holmium-YAG laser.

摘要

伯奇膀胱颈悬吊术仍是治疗压力性尿失禁的成功手术之一。手术过程中意外缝合膀胱壁或随后的侵蚀可能导致下尿路症状。对这些缝线的诊断和处理需要精确评估,为此要使用70度膀胱镜。在某些特定病例中,钬激光可能使我们能够处理长期存在、结痂且被忽视的缝线。在此,我们报告使用钬激光成功取出膀胱内缝线的情况。

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