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尿道网侵蚀的激光切除:一个10年的经验

Caitlin E Carlton¹, Jessie Y Chen¹, Colby P Souders²

¹Department of Urology, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX, 75390-9110, USA.

World journal of urology

|March 9, 2024

概括

激光切除有效地治疗尿道网状侵蚀 (UME) 后的中尿道 (MUS),提供一个最少的侵入性解决方案. 虽然症状各不相同,但这种门诊手术表明UME的治愈率很高.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
妇科妇科医生妇科
手术创新在外科创新.

背景情况:

尿道网状侵蚀 (UME) 是尿道中环 (MUS) 的并发症.
UME的症状可以变化,并且经常模仿其他疾病.
在有MUS病史的患者中,需要高的怀疑指数.

研究的目的:

评估UME激光切除术10年的经验.
评估这种微创治疗的疗效和结果.

主要方法:

对接受内镜激光切除术的女性患者的回顾性审查.
收集的数据包括人口统计,临床表现,手术史和手术前后结果.
UME治愈被定义为在术后5-6个月内在囊回形镜检查上没有残留网状.

主要成果:

23名患者在2011-2021年期间接受治疗;中位数年龄56岁.
复发性尿路感染 (rUTI) 是最常见的呈现症状 (n=10).
61%的患者需要一次以上的激光切除;57%的患者在手术后出现了新的或持续的尿失禁.

结论:

UME的症状是多样化的,需要对MUS患者保持警,特别是那些患有RUTI的患者.
内镜激光切除是一种安全的,简短的门诊手术.
这种技术可以实现尿道网侵蚀的高治愈率.

关键词:

激光切除术是一种激光切除术.网格侵蚀侵蚀网格侵蚀尿道中部的吊带.

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