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関連する概念動画

Ureters01:22

Ureters

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The ureters are retroperitoneal tubes located on either side of the vertebral column. They are responsible for transporting urine from each kidney to the urinary bladder. These tubes have thick walls and are approximately 25-30 cm long. Their diameter is around 10 mm at the renal pelvis, gradually narrowing to 1 mm as the ureter obliquely enters the posterior bladder wall through the ureteric orifices. The shape of these orifices is slit-like, which helps to prevent urine backflow toward the...
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Urinary Bladder01:23

Urinary Bladder

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The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
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Anatomy of the Genitourinary System II: Bladder and Urethra01:19

Anatomy of the Genitourinary System II: Bladder and Urethra

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The lower urinary system consists of the urinary bladder and urethra, which are essential in storing and expelling urine from the body. Together with the internal and external sphincters, these structures work together to regulate urination effectively.Anatomy of the BladderThe urinary bladder is a muscular, stretchable organ behind the pubic bone and in front of the rectum. In females, the bladder is positioned anterior to the vagina and inferior to the uterus, while in males, it is located...
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Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

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The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
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Urinary Tract Calculi VI: Surgical Management01:25

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Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...
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ストレス性尿失禁の治療において,トランスオブチュレーターテープと尿道帯の折り合いをランダムに比較する.

Alev Esercan1, Ahmet Akin Sivaslioglu2, Peter Petros3

  • 1Trabzon Training and Research Hospital, Clinic of Obstetrics and Gynecology, University of Health Sciences, Trabzon, Türkiye.

International urogynecology journal
|August 27, 2025
PubMed
まとめ

新しい尿道筋折り (ULP) 手術は,ストレス性尿失禁 (SUI) に対して,テープなしで,費用対効果の高い解決策を提供します. この革新的な手順は,従来のトランスオブチュレーターテープ (TOT) 方法と比較して,より高い治癒率とより少ない合併症を示しました.

キーワード:
トランスオブターターテープ尿道帯の折り

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科学分野:

  • 泌尿器科
  • 侵襲 的 な 手術
  • 骨盤床の障害

背景:

  • ストレス性尿失禁 (SUI) は多くの女性に影響し,しばしば中尿管スリング (MUS) で治療されます.
  • トランスオブチュレーターテープ (TOT) のような現在のMUS技術は,痛みとメッシュの合併症のリスクを伴う.
  • SUI治療の安全性と有効性を向上させるには,テープのない新しいアプローチが必要です.

研究 の 目的:

  • SUIに対する新しい尿道帯折り手術 (ULP) の有効性と安全性を評価する.
  • ULPの結果と標準トランスオブタレーターテープ (TOT) プロセスを比較する.
  • ULP技術の費用対効果と学習曲線を評価する.

主な方法:

  • ULPまたはTOTに割り当てられたSUI患者108人を対象としたランダム化制御試験.
  • ULPは,コラーゲンを生成するポリエステル縫合物を使用して,帯筋 (PUL) を折り畳むことを含む.
  • 標準的な比較手段として使用されたのは,外側から内側へという手法です.

主要な成果:

  • ULPは,TOT (81. 5%) (p<0. 05) と比較して,より高い治癒率を達成した.
  • ULPは,尿不全インベントリー-6 (UDI- 6) のスコア (0. 61対1.17,p<0. 05) を有意に低下させた.
  • ULPは動作時間が短く (18分と26分) TOT (痛み,メッシュの問題) と異なり,重大な合併症はありませんでした.

結論:

  • 尿道帯折り (ULP) は,安全で効果的で低コストな SUI 治療の代替手段です.
  • ULPは,従来のテープ手順よりも,合併症の減少とより速い操作を含む利点を提供しています.
  • この直視手術は 最小限の設備が必要で 学習曲線が浅いので アクセシブルです