Clinical analysis of female urethral diverticulum resection and reconstruction relying on probe guidance
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摘要: 目的 分析探针引导下的经阴道尿道憩室切除术治疗女性尿道憩室的临床疗效。方法 分析2015年8月一2020年12月收治的9例女性尿道憩室患者的临床资料，年龄27~58岁，平均41岁；病史1个月~10年，平均52个月。主要症状包括排尿困难、性交痛、尿后滴沥、尿不尽、尿痛、尿频、会阴部坠胀感、反复尿路感染、阴道包块、压力性尿失禁等。9例检查可于阴道前壁触及大小不等囊性包块，有触痛及分泌物排出。影像学检查于尿道及阴道前壁之间见囊性占位。9例患者均全麻下行探针引导下的经阴道尿道憩室切除术。记录手术情况、术后并发症和疗效。结果 9例手术过程顺利。患者排尿顺利，术前的症状消失。术后随访时间2~56个月，平均28.7个月。9例均未出现症状复发，无尿道狭窄、尿失禁、尿道阴道瘘等并发症。结论 经探针引导下的经阴道尿道憩室切除尿道重建术治疗女性尿道憩室安全可靠、疗效确切且无明显并发症。Abstract: Objective To analyze the clinical efficacy of transvaginal female urethral diverticulum resection and reconstruction relying on probe guidance.Methods We retrospectively analyzed the transvaginal diverticulum resection of 9 adult female patients diagnosed as urethral diverticulum in our hospital from August 2015 to December 2020. The patients aged from 27 years old to 58 years old with an average age of 41. Their medical histories varied from 1 month to more than 10 years with an average histories of 52 months. Major symptoms included dysuria, dyspareunia, urinary stuttering, odynuria, frequent micturition, perineum bearing down feeling, iterative urinary tract infection, vagina masses, stress incontinence etc. Physical examination: cystic masses of different sizes could be touched on anterior vaginal walls with pain and secretion. Cystic lesions can be found by imaging examination. Urethral diverticulum resections relying on probe guidance were performed. Postoperative efficacy and complications were recorded.Results All 9 cases underwent successful procedures, and were followed up for 2 to 56 months with an average 28.7 months. AIl patients had no complications including fistula, urethral stenosis, urinary incontinence, lower urinary tract symptoms or recurrence.Conclusion Urethral diverticulum resection and reconstruction relying on probe guidance is a reliable treatment for female urethral diverticulum with positive curative effect and no obvious complication.
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Key words:
- female /
- urethral diverticulum /
- resection /
- transvaginal /
- probe guidance
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