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尿道-海绵体瘘延迟发病:尿路创伤后的结果

Delayed Presentation of Urethro-Cavernosal Fistula After Urotrauma.

机构信息

University of Southern California, Los Angeles, CA.

USC Institute of Urology, Los Angeles, CA.

出版信息

Urology. 2019 Sep;131:e7-e8. doi: 10.1016/j.urology.2019.05.004. Epub 2019 May 24.

Abstract

OBJECTIVE

To define clinical features and surgical management of urethro-cavernosal fistulas (UCF).

METHODS

A literature search was performed using PubMed to identify publications with the key word urethro-cavernosal fistula.

RESULTS

We herein describe surgical techniques and long-term outcomes for UCF repair.

CONCLUSION

UCFs is a rare urological condition with only 9 cases reported to date. UCFs can be diagnosed with careful history, physical examination, and retrograde urethrography. Surgical management includes basic tenets of fistula repair, including adequate mobilization, tension-free but watertight approximation, multilayered closure with nonoverlapping suture lines, and maximal bladder drainage.

摘要

目的

定义尿道-海绵体瘘(UCF)的临床特征和手术处理方法。

方法

使用 PubMed 进行文献检索,以关键词“尿道-海绵体瘘”来确定相关的出版物。

结果

本文描述了 UCF 修复的手术技术和长期结果。

结论

UCF 是一种罕见的泌尿系统疾病,迄今为止仅报告了 9 例。通过仔细的病史、体格检查和逆行尿道造影可诊断 UCF。手术治疗包括瘘管修复的基本原则,包括充分的游离、无张力但密封的吻合、非重叠缝线的多层闭合以及最大程度的膀胱引流。

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