Department of Urology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Department of Urology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; Department of Urology, School of Medicine, National Yang-Ming University, Taipei, Taiwan, ROC; Shu-Tien Urological Science Research Center, Taipei, Taiwan, ROC.
J Chin Med Assoc. 2017 Nov;80(11):712-716. doi: 10.1016/j.jcma.2017.07.003. Epub 2017 Aug 12.
Few studies have focused on the urodynamic findings of urethral diverticula (UD). We characterized the symptoms and urodynamic findings in women with UD.
A retrospective review of all women in a single center having surgical treatment for symptomatic UD between May 2004 and September 2014 was done. Lower urinary tract symptoms were evaluated with International Prostate Symptom Score and Overactive Bladder Symptom Score questionnaires. All patients underwent magnetic resonance imaging and videourodynamic study (VUDS) prior to surgery, and postoperative evaluation with VUDS.
A total of 20 female patients were enrolled into the study. 12 (60%) UD patients presented with symptoms of stress urinary incontinence (SUI). However, there were merely 3 (15%) patients diagnosed as urodynamic SUI. 15 (75%) patients exhibited low catheter-free uroflow. Detrusor overactivity was demonstrated in 4 (20%) patients. Bladder outlet obstruction (BOO) was diagnosed in 8 (40%) cases. Postoperative VUDS revealed persistent BOO in 50% of patients with preoperative BOO. Of these, residual diverticulum was noted by VUDS in one patient.
For UD patients with urinary incontinence or voiding dysfunction, VUDS is helpful in accurately characterizing these symptoms.
鲜有研究关注尿道憩室（UD）的尿动力学发现。我们对患有 UD 的女性的症状和尿动力学发现进行了特征描述。
对 2004 年 5 月至 2014 年 9 月期间在一家单中心接受手术治疗的所有有症状 UD 女性患者进行了回顾性分析。采用国际前列腺症状评分和膀胱过度活动症症状评分问卷评估下尿路症状。所有患者均在术前进行磁共振成像和视频尿动力学检查（VUDS），术后进行 VUDS 评估。
共纳入 20 例女性患者。12 例（60%）UD 患者出现压力性尿失禁（SUI）症状。然而，仅有 3 例（15%）患者被诊断为尿动力学 SUI。15 例（75%）患者表现出低尿流率。4 例（20%）患者存在逼尿肌过度活动。8 例（40%）患者诊断为膀胱出口梗阻（BOO）。术后 VUDS 显示术前存在 BOO 的患者中有 50%仍存在 BOO。其中，1 例患者的 VUDS 显示残余憩室。
对于存在尿失禁或排尿功能障碍的 UD 患者，VUDS 有助于准确描述这些症状。
