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双边单一系统宫外尿道:一个案例报告

Yirgalem Teklebirhan Gebreziher¹, Enderta Abrha Zeru², Hadush Tesfay Negash²

¹Department of Surgery, Ayder Comprensive Specialized Hospital, Mekelle University, Mek'ele, Ethiopia. Yirgalemtek1@gmail.com.

Journal of medical case reports

|March 19, 2025

概括

双边单系统外宫尿道很少见,导致终身失禁. 尿道再植入可以成功地恢复选定的患者的膀功能和控制能力,避免复杂的重建性手术.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
儿科手术儿科手术
医疗成像医学成像

背景情况:

双边单一系统外阴尿道很少见,发生在不到20%的外阴尿道病例中.
这种情况呈现为女性的持续性尿失禁,原因是膀外的尿管开口.
由于膀容量减少和膀部不称职,管理是具有挑战性的,通常需要进行重大的重建性手术.

研究的目的:

调查双边单一系统宫外尿道的诊断和管理.
评估尿管再植入在实现禁欲和正常膀功能方面的有效性.

主要方法:

一个14岁的女性患有终身尿失禁和复发性尿路感染的病例介绍.
诊断工作包括腹部超声波,排空囊电图,CT泌尿图和囊镜.
治疗涉及双边的Politano-Leadbetter尿道再植入.

主要成果:

图像检查显示,膀容量低,双侧异位尿管开口和中度水尿管缩.
囊镜检查证实了尿道内的尿道孔和一个模糊的三角形.
手术后的随访显示,在尿管再植入后,尿保持状态令人满意.

结论:

双边单个系统的宫外尿道是一个罕见的临床实体.
现代成像技术对于手术规划至关重要.
尿道再植入单独可以在选定的患者中实现令人满意的尿和膀功能,可能避免重大重建手术.

关键词:

这是双边的双边协议.案例报告案例报告宫外泌尿器的尿管.重新安置重新安置.单一的系统单一的系统

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Ureters

Ureters

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...