Urethral diverticula: evolving diagnostics and improved surgical management.

被引:11
作者
Dmochowski R. [1 ]
机构
[1] North Texas Center for Urinary Control, 1325 Pennsylvania Avenue, Suite 550, Fort Worth, 76104, TX
关键词
Anterior Vaginal Wall; Nephrogenic Adenoma; Pubovaginal Sling; Stress Urinary Incontinence; Urethral Diverticulum;
D O I
10.1007/s11934-996-0023-z
中图分类号
学科分类号
摘要
Urethral diverticula remain problematic from both diagnostic and therapeutic standpoints. Recent developments in pelvic imaging with computed tomography, sensitive ultra-sonography, and magnetic resonance imaging have greatly advanced diagnostic acumen and improved the clinician’s ability to stage lesions as to location, size, and coexistent pathology. Coupled with improved recognition has come advancements in surgical technique, reflective of improved understanding of urethral anatomy and function. Better use of concomitant procedures, such as pubovaginal sling or soft tissue interposition, has continued a steady trend toward improved surgical outcomes when considering urethral function and urinary continence. This article reviews these mutually complementary trends. © 2001, Current Science Inc.
引用
收藏
页码:373 / 378
页数:5
相关论文
共 16 条
[1]
Leng W.W., McGuire E.J., Management of female urethral diverticula: a new classification, J Urol, 160, pp. 1297-1300, (1998)
[2]
Romanzi L.J., Groutz A., Blaivas J.G., Urethral diverticulum in women: diverse presentations resulting in diagnostic delay and mismanagement, J Urol, 164, 2, pp. 428-433, (2000)
[3]
Jacoby K., Rowbotham R.K., Double balloon positive pressure urethrography is a more sensitive test than voiding cystourethrography for diagnosing urethral diverticulum in women, J Urol, 162, pp. 2066-2069, (1999)
[4]
Wang A.C., Wang C.R., Radiologic diagnosis and surgical treatment of urethral diverticulum in women. A reappraisal of voiding cystourethrography and positive pressure urethrography, J Reprod Med, 45, 5, pp. 377-382, (2000)
[5]
Siegel C.L., Middleton W.D., Teefey S.A., Et al., Sonography of the female urethra, AJR Am J Roentgenol, 170, pp. 1269-1274, (1998)
[6]
Daneshgari F., Zimmern P.E., Jacomides L., Magnetic resonance imaging detection of symptomatic noncommunicating intraure-thral wall diverticula in women, J Urol, 161, pp. 1259-1262, (1999)
[7]
Neitlich J.D., Foster H.E., Glickman M.G., Smith R.C., Detection of urethral diverticula in women: comparison of high resolution fast spin echo technique with double balloon urethrography, J Urol, 159, pp. 408-412, (1998)
[8]
Gousse A.E., Barbaric Z.L., Safir M.H., Et al., Dynamic half Fourier acquisition, single shot turbo spin echo magnetic resonance imaging for evaluating the female pelvis, J Urol, 164, 5, pp. 1606-1613, (2000)
[9]
Blander D.S., Rovner E.S., Schnall M.D., Et al., Endoluminal magnetic resonance imaging in the evaluation of urethral diverticula in women, Urol, 57, pp. 660-665, (2001)
[10]
Nitti V.W., Tu L.M., Gitlin J., Diagnosing bladder outlet obstruction in women, J Urol, 161, 5, pp. 1535-1540, (1999)