Suprameatal Transvaginal Urethrolysis in Urethral Obstruction Associated with Anti-incontinence Surgery: A Case Report / 영남의대학술지
Yeungnam University Journal of Medicine
;
: 376-379, 1999.
Article
in Korean
| WPRIM
| ID: wpr-20246
ABSTRACT
We report our experience with a case of urethrolysis using a transvaginal suprameatal approach without lateral perforation of the urethropelvic ligament. A 43-year-old woman suffered from voiding difficulties such as hesitancy, frequency, urgency, decreased urinary flow, residual urine sensation after Marshall-Marchetti-Krantz operation concurrent with hysterectomy. The results of multidisciplinary work-ups of urethral obstruction such as history, vaginal examination, voiding cystourethrography, urodynamic study, showed that she had urethral obstruction due to a previous operation. Since clean intermittent catheterization and alpha-blocker therapy did not improve her symptoms, suprameatal transvaginal urethrolysis was performed to resolve the symptoms. Postoperative follow-up for 5 months showed that the patient remained free from voiding difficulty in their life. We believe that suprameatal transvaginal urethrolysis is worth attempting for urethral obstruction associated with anti-incontinence surgery.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Sensation
/
Urethral Obstruction
/
Urodynamics
/
Follow-Up Studies
/
Gynecological Examination
/
Intermittent Urethral Catheterization
/
Hysterectomy
/
Ligaments
Type of study:
Observational study
/
Prognostic study
/
Risk factors
Limits:
Adult
/
Female
/
Humans
Language:
Korean
Journal:
Yeungnam University Journal of Medicine
Year:
1999
Type:
Article
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