A clinical analysis of the female urethral diverticulum
10.16571/j.cnki.1008-8199.2018.10.008
- VernacularTitle: 女性尿道憩室的临床分析
- Author:
Si-cong ZHANG
1
;
He-wei XU
1
;
Zheng-sen CHEN
1
;
Bai-xin SHEN
1
;
Zhong-qing WEI
1
Author Information
1. Department of Urology,the Second Affiliated Hospital of Nanjing Medical University,Nanjing 210000,Jiangsu, China
- Publication Type:Journal Article
- Keywords:
female;
urethral diverticulum;
diagnosis;
operation
- From:
Journal of Medical Postgraduates
2018;31(10):1047-1049
- CountryChina
- Language:Chinese
-
Abstract:
Objective Surgical treatment of the urethral diverticulum is difficult and may be followed by serious postoperative complications such as urethro-vaginal fistula. The purpose of this study is to investigate the treatment of female urethral diverticulum and its clinical effect.Methods We retrospectively analyzed the clinical data on 20 cases of female urethral diverticulum confirmed and treated in our hospital from January 2010 to December 2017. We obtained the Overactive Bladder Symptom Score (OABSS) from the patients after admission, treated them by transvaginal urethral diverticulectomy under continuous epidural anesthesia, and compared the signs and symptoms before and after operation.Results All the patients showed significantly decreased incidences of perineal discomfort, frequent micturition, urgent urination, and dysuria after operation (P<0.05). The average OABSS was remarkably lower postoperatively than the baseline (4.9±1.8 vs 8.1±2.3, P<0.05). No such postoperative complications as hematuria, urinary fistula, urethral stricture and urinary incontinence were observed in any of the patients.Conclusion Transvaginal urethral diverticulectomy is safe and effective for the treatment of female urethral diverticulum.
