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
黄建文 1王营 1张心如 1宋鲁杰 1傅强1
作者信息
- 1. 上海交通大学医学院附属第六人民医院泌尿外科,上海 200233
- 折叠
摘要
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.
Abstract
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.
关键词
尿失禁/获得性/改良膀胱颈重建/机器人辅助手术Key words
Urinary incontinence/Acquired/Modified bladder neck reconstruction/Robot-assisted surgery引用本文复制引用
出版年
2024
NETL
NSTL
万方数据