Kivi Martin, Ahlberg Armen, Okas Rauno, Stuehmeier Jannik, Pedrini Marco, Rehder Peter
East Tallinn Central Hospital, Department of Urology, Ravi 18, 10138, Tallinn, Estonia.
Medical University Innsbruck, Department of Urology, 35 Anich Street, 6020, Innsbruck, Austria.
Urol Case Rep. 2020 May 25;33:101279. doi: 10.1016/j.eucr.2020.101279. eCollection 2020 Nov.
Bladder neck closure after severe polytrauma with an absent urethra poses a huge challenge for a young woman wanting to urinate normally. Considerations are reconstruction of a neourethra and operative means to gain continence. We describe a case of trigonal tubularization to function as a neourethra, together with the implantation of an artificial urinary sphincter. Eleven years after suffering from an open book pelvic rim fracture at 18 years, successful reconstruction of a trigonal neourethra enabled continence and residual-free spontaneous voiding at 29 years.
对于一名想要正常排尿的年轻女性而言，在严重多发伤且尿道缺失后进行膀胱颈闭合术是一项巨大挑战。需要考虑重建新尿道以及实现控尿的手术方法。我们描述了一例将膀胱三角区管状化以充当新尿道，并植入人工尿道括约肌的病例。该患者18岁时发生开放性骨盆环骨折，11年后，成功重建膀胱三角区新尿道，使其在29岁时实现了控尿且能自主排尿且无残余尿。
