Desai R M, Sabnis R B, Bapat S D
Department of Urology, Lokmanya Tilak Municipal College and Hospital, Sion, Bombay, India.
Arch Esp Urol. 1993 Oct;46(8):749-51.
Management of complex female urethral injuries is challenging. We present our experience of 9 cases over the last 3 years with a mean follow-up of 14 months. The spectrum of clinical problems and results of various forms of innovative management are highlighted. Injuries which could not be managed by primary repair or by applying regular urethroplasty principles of using local vaginal flaps were treated with core-through urethrotomy (2), creation of distal urethrovaginal fistula (5), and continent urinary diversion (2). Individualised treatment technique to fit the special circumstance as presented by each patient is stressed because of the rarity of female urethral injury.
复杂女性尿道损伤的处理具有挑战性。我们介绍了过去3年中9例患者的经验，平均随访时间为14个月。重点阐述了临床问题的范围以及各种创新处理方式的结果。无法通过一期修复或应用常规尿道成形术原则（如使用局部阴道瓣）处理的损伤，采用了贯穿尿道切开术（2例）、远端尿道阴道瘘形成术（5例）和可控性尿流改道术（2例）进行治疗。由于女性尿道损伤罕见，强调应根据每位患者的特殊情况采用个体化治疗技术。
