The Effects of a Pubovaginal Sling Procedure, with Martius Labial Fat Pad Interposition, after a Female Urethral Diverticulectomy / 대한비뇨기과학회지
Korean Journal of Urology
;
: 871-876, 2002.
Article
in Korean
| WPRIM
| ID: wpr-29745
ABSTRACT
PURPOSE:
We evaluated the effects of a pubovaginal sling (PVS), with a Martius labial fat pad interposition (MLFI), on patients with a female urethral diverticulum. MATERIALS ANDMETHODS:
23 consecutive cases with a female urethral diverticulum were retrospectively reviewed. The pre-operative evaluations included the history, physical examination, voiding cystourethrogram, cystoscopy, transperineal ultrasound and urodynamic studies to investigate the urethral function and the concomitant stress urinary incontinence. The treatment consisted of a transvaginal diverticulectomy alone, or with a PVS only, or combined with a MLFI.RESULTS:
A transvaginal diverticulectomy only was performed, using a 3-layer closure, in nine patients (39.1%) and a concomitant PVS with a diverticulectomy in eight (34.8%) with stress urinary incontinence. A MLFI, combined with the above procedure, was performed in six patients (26.1%) with large defects of the urethra following the resection of diverticulum. No women having undergone a diverticulectomy with, or without, a PVS and MLFI had an urethrovaginal fistula, recurrent diverticulum or postoperative incontinence.CONCLUSIONS:
In complicated cases, a simultaneous transvaginal diverticulectomy, pubovaginal sling and Martius labial fat pad interposition can be performed safely and effectively.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Physical Examination
/
Urethra
/
Urinary Incontinence
/
Urodynamics
/
Adipose Tissue
/
Retrospective Studies
/
Ultrasonography
/
Diverticulum
/
Cystoscopy
/
Fistula
Type of study:
Diagnostic study
/
Observational study
Limits:
Female
/
Humans
Language:
Korean
Journal:
Korean Journal of Urology
Year:
2002
Type:
Article
Similar
MEDLINE
...
LILACS
LIS