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[尿道损伤女性尿失禁的外科治疗特点]

[Features of surgical treatment of urinary incontinence in women with urethral destruction].

作者信息

Yarin G Yu, Liuft E V, Vilgelmi I A

机构信息

Novosibirsk Research Institute of Traumatology and Orthopedics n.a. Ya.L. Tsivyan, Novosibirsk, Russia.

ANO Clinic NIITO, Novosibirsk, Russia.

出版信息

Urologiia. 2021 May(2):86-89.

Abstract

Urethral destruction in women is a rare pathology which is result of traumatic damage of the urethra during pelvic fractures, sexual trauma, iatrogenic effects (operative vaginal delivery, prolonged catheterization of the bladder, complicated surgical interventions on the urethra, etc.). The main symptom of urethral destruction is involuntary urinary incontinence. The relevance and complexity of this problem are determined by the fact that the choice of surgical treatment for urethral destruction is still unsolved. This requires such kind of intervention, which will be aimed not only at restoring of the anatomy, but also at correcting urinary incontinence - often in several stages. This article describes two clinical cases of urethral destruction in women with iatrogenic damage to the urethra.

摘要

女性尿道损伤是一种罕见的病理情况,它是骨盆骨折、性创伤、医源性影响(手术助产、膀胱长期导尿、尿道复杂手术干预等)期间尿道受到创伤性损伤的结果。尿道损伤的主要症状是尿失禁。这个问题的相关性和复杂性在于,尿道损伤的手术治疗选择仍然没有解决。这需要一种不仅旨在恢复解剖结构,而且通常要分几个阶段纠正尿失禁的干预措施。本文描述了两例因医源性尿道损伤导致尿道损伤的女性临床病例。

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