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经尿道中段吊带手术后排尿功能障碍的评估与处理

Evaluation and management of voiding dysfunction after midurethral sling procedures.

作者信息

Celik Hatice, Harmanlı Ozgür

机构信息

Department of Gynecology and Obstetrics, Tufts University School of Medicine, Baystate Medical Center, USA.

出版信息

J Turk Ger Gynecol Assoc. 2012 Jun 1;13(2):123-7. doi: 10.5152/jtgga.2012.14. eCollection 2012.

Abstract

Midurethral slings have become the most popular surgical procedure for the correction of stress urinary incontinence in women. Urinary retention or obstructive voiding symptoms may arise from partial urethral obstruction as a result of oversuspension of the urethra or exaggerated tension. Fortunately, most cases of voiding dysfunction are transient and resolve spontaneously within days. Clean intermittent self-catheterization is the mainstay of conservative treatment. If symptoms persist, tape mobilization, incision or urethrolysis may be performed. Recurrent stress urinary incontinence may occur in a small group of patients, who may benefit from another incontinence treatment.

摘要

中段尿道吊带术已成为治疗女性压力性尿失禁最常用的外科手术。由于尿道过度悬吊或张力过大导致部分尿道梗阻,可能会出现尿潴留或排尿梗阻症状。幸运的是,大多数排尿功能障碍病例是暂时的,几天内可自行缓解。清洁间歇性自我导尿是保守治疗的主要方法。如果症状持续,可进行吊带松动、切开或尿道松解术。一小部分患者可能会复发压力性尿失禁,这些患者可能会从另一种尿失禁治疗中获益。

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