首页|机器人辅助改良膀胱颈重建术治疗女性获得性尿失禁1例报告

机器人辅助改良膀胱颈重建术治疗女性获得性尿失禁1例报告

Robot-assisted modified bladder neck reconstruction for the treatment of female acquired urinary incontinence:a case report

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女性获得性尿失禁的治疗是临床难题.本文报道1例女性患者因尿道肉阜切除过度后出现漏尿,尿流动力学检查示功能尿道长度1.6 cm,最大尿道压力41 cmH2O(1 cmH2O=0.133 kPa);尿道镜检查示尿道长度约2 cm,尿道括约肌功能良好,无尿道狭窄.予行机器人辅助改良Leadbetter膀胱颈重建术,手术顺利.术后4周拔除尿管,排尿通畅,完全自主控尿.术后随访3个月,仍排尿通畅,无尿失禁发生.
Female acquired urinary incontinence is a clinical challenge.This article reported a female patient who had urinary incontinence after excessive urethral caruncle resection.Urodynamics showed effective urethral length was 1.6 cm and maximal urethral pressure was 41 cm cmH2O(1 cmH2O=0.133 kPa).Urethroscopy showed urethral length was about 2 cm,urethral sphincter function was good,and urethral stricture was absent.The patient has undergone robot-assisted modified Leadbetter bladder neck reconstruction.The surgery was successfully completed without intraoperative complications.Urinary catheter was removed at 4 weeks after surgery,and the patient has complete urinary continence with unobstructed voiding.After 3 months of follow-up,the patient still has unobstructed voiding and urinary continence.

Urinary incontinenceAcquiredModified bladder neck reconstructionRobot-assisted surgery

黄建文、王营、张心如、宋鲁杰、傅强

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上海交通大学医学院附属第六人民医院泌尿外科,上海 200233

尿失禁 获得性 改良膀胱颈重建 机器人辅助手术

2024

中华泌尿外科杂志
中华医学会

中华泌尿外科杂志

CSTPCD北大核心
影响因子:1.628
ISSN:1000-6702
年,卷(期):2024.45(3)
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