Bebla Norman, Gallegos Dylan
Las Palmas Medical Center, El Paso, TX.
Del Sol Medical Center, El Paso, TX.
HCA Healthc J Med. 2024 Aug 1;5(4):465-467. doi: 10.36518/2689-0216.1672. eCollection 2024.
Intrinsic sphincter deficiency (ISD) is associated with a patient history of urethral injury or childbirth. Suburethral sling placement for ISD has been found to be beneficial in patients with this diagnosis. ISD in the pediatric population is rare and surgical management may prove difficult. ISD requires intensive counseling on available treatment options for this unique population.
This report is on the use of the single-incision mini-sling for complete ISD in an adolescent patient. The patient was a 15-year-old nulligravid female who was found to have idiopathic complete intrinsic deficiency based on a multi-channel urodynamic study. Despite conservative management, the patient opted for a surgical option instead. The patient underwent a single-incision mini-sling placement. At 3- and 6-month postoperative follow-up visits, the patient reported a subjective cure of stress urinary incontinence.
Single-incision mini-sling is a minimally invasive surgical technique that may be a feasible treatment option to reduce urinary incontinence in pediatric patients with a diagnosis of ISD.
固有括约肌缺陷（ISD）与尿道损伤或分娩病史有关。对于诊断为此病的患者，已发现放置尿道下吊带有益。小儿群体中的ISD很罕见，手术治疗可能颇具难度。对于这一特殊群体，ISD需要就可用的治疗方案进行深入咨询。
本报告讲述的是在一名青少年患者中使用单切口微型吊带治疗完全性ISD的情况。该患者为一名15岁未孕女性，经多通道尿动力学研究发现患有特发性完全性固有括约肌缺陷。尽管采取了保守治疗，但患者还是选择了手术治疗。该患者接受了单切口微型吊带放置术。术后3个月和6个月的随访中，患者报告压力性尿失禁主观上已治愈。
单切口微型吊带是一种微创手术技术，对于诊断为ISD的小儿患者，可能是减少尿失禁的一种可行治疗选择。
