Female Urethral Reconstruction

被引：36

作者：

Ackerman A.L. ^{[1
]}

Blaivas J. ^{[1
]}

Anger J.T. ^{[1
]}

机构：

[1] UCLA Department of Urology, Santa Monica, CA, 90404, 1260 15th Street

来源：

Current Bladder Dysfunction Reports | 2010年 / 5卷 / 4期

关键词：

Buccal graft; Female; Pelvic fracture; Techniques; Urethroplasty; Vaginal flap;

D O I：

10.1007/s11884-010-0071-6

中图分类号：

学科分类号：

摘要：

Female urethral strictures are rare; thus, the literature describing stricture management in women is sparse. Although urethral dilation continues to be performed at a high frequency in women despite lack of proven efficacy, this procedure is used for a variety of voiding complaints other than stricture. Hence, the long-term utility of dilation and urethrotomy for urethral stricture in women is unknown. This review describes the various urethroplasty techniques used in the management of female urethral stricture. Although grafts using a dorsal approach have been shown to be feasible in women, ventral flap techniques offer good long-term outcomes with minimal morbidity. Acute and delayed management of pelvic fracture-associated urethral distraction defects in women is also described. Unlike in men, immediate urethroplasty in women should be performed once the patient is hemodynamically stable. © 2010 The Author(s).

引用

页码：225 / 232

页数：7

共 40 条

[1]

Carr L.K., Webster G.D., Bladder outlet obstruction in women, Urol Clin North Am, 23, pp. 385-391, (1996)

[2]

Nitti V.W., Tu L.M., Gitlin J., Diagnosing bladder outlet obstruction in women, J Urol, 161, pp. 1535-1540, (1999)

[3]

Groutz A., Blaivas J.G., Chaikin D.C., Bladder outlet obstruction in women: definition and characteristics, Neurourol Urodyn, 19, pp. 213-220, (2000)

[4]

Kuo H.C., Videourodynamic characteristics and lower urinary tract symptoms of female bladder outlet obstruction, Urology, 66, pp. 1005-1009, (2005)

[5]

Indudhara R., Vaidyanathan S., Radotra B.D., Urethral tuberculosis, Urol Int, 48, pp. 436-438, (1992)

[6]

Romero Perez P., Schiefenbusch Munne E., Lobato Encinas J.J., Mira Llinares A., Female urethral stenosis caused by vulvar dystrophy, Arch Esp Urol, 43, pp. 341-346, (1990)

[7]

Pugliese J.M., Morey A.F., Peterson A.C., Lichen sclerosus: review of the literature and current recommendations for management, J Urol, 178, pp. 2268-2276, (2007)

[8]

Desai S., Libertino J.A., Zinman L., Primary carcinoma of the female urethra, J Urol, 110, pp. 693-695, (1973)

[9]

Yamashita T., Masuda H., Yano M., Et al., Female urethral fibroepithelial polyp with stricture, J Urol, 171, (2004)

[10]

Ozel B., Ballard C., Urethral and paraurethral leiomyomas in the female patient, Int Urogynecol J Pelvic Floor Dysfunct, 17, pp. 93-95, (2006)

← 1 2 3 4 →