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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 AND

METHODS:

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.
Subject(s)

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

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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