지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.9
- 수록면
- 202 - 209 (8page)
- DOI
- 10.5213/inj.2142006.003
이용수
초록· 키워드
오류제보하기
Female urethral diverticulum (UD) is a rare and benign condition that presents as an epithelium-lined outpouching of the urethra. It has various symptoms, of which incontinence in the form of postmicturition dribble is the most common. The gold standard for the diagnosis of UD is magnetic resonance imaging, and the treatment of choice is transvaginal diverticulectomy.
Despite the high success rate of transvaginal diverticulectomy, postoperative complications such as de novo stress urinary incontinence (SUI), recurrence, urethrovaginal fistula, recurrent urinary tract infections, newly-onset urgency, and urethral stricture can occur. De novo SUI is thought to result from weakening of the anatomical support of the urethra and bladder neck or damage to the urethral sphincter mechanism during diverticulectomy. It can be managed conservatively or may require surgical treatment such as a pubovaginal sling, Burch colposuspension, or urethral bulking agent injection. Concomitant SUI can be managed by concurrent or staged anti-incontinence surgery. Recurrent UD may be a newly formed diverticulum or the result of a remnant diverticulum from the previous diverticulectomy. In cases of recurrent UD requiring surgical repair, placing a rectus fascia pubovaginal sling may be an effective method to improve the surgical outcome. Urethrovaginal fistula is a rare, but devastating complication after urethral diverticulectomy; applying a Martius flap during fistula repair may improve the likelihood of a successful result. Malignancies in UD are rarely reported, and anterior pelvic exenteration is the recommended management in such cases.
목차
등록된 정보가 없습니다.
참고문헌 (55)
참고문헌 신청
Davis BL / 1970 / Diverticula of the female urethra : assay of 120 cases / J Urol 104:850~853
Ma˚rtensson O / 1994 / Translabial ultrasonography with pulsed colour-Doppler in the diagnosis of female urethral diverticula / Scand J Urol Nephrol 28:101~104
Burrows LJ / 2005 / Surgical procedures for urethral diverticula in women in the United States, 1979–1997 / Int Urogynecol J Pelvic Floor Dysfunct 16:158~161
Reeves FA / 2014 / Management of symptomatic urethral diverticula in women : a single-centre experience / Eur Urol 66:164~172
Aldridge CW Jr / 1978 / A review of office urethroscopy and cystometry / Am J Obstet Gynecol 131:432~437
Ma˚rtensson O / 1994 / Translabial ultrasonography with pulsed colour-Doppler in the diagnosis of female urethral diverticula / Scand J Urol Nephrol 28:101~104
Burrows LJ / 2005 / Surgical procedures for urethral diverticula in women in the United States, 1979–1997 / Int Urogynecol J Pelvic Floor Dysfunct 16:158~161
Reeves FA / 2014 / Management of symptomatic urethral diverticula in women : a single-centre experience / Eur Urol 66:164~172
Aldridge CW Jr / 1978 / A review of office urethroscopy and cystometry / Am J Obstet Gynecol 131:432~437
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