FEATURES OF SURGICAL TREATMENT OF URINARY INCONTINENCE IN WOMEN WITH URETHRAL DESTRUCTION


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Urethral destruction in women is a rare pathology which is result of traumatic damage of the urethra during pelvic fractures, sexual trauma, iatrogenic effects (operative vaginal delivery, prolonged catheterization of the bladder, complicated surgical interventions on the urethra, etc.). The main symptom of urethral destruction is involuntary urinary incontinence. The relevance and complexity of this problem are determined by the fact that the choice of surgical treatment for urethral destruction is still unsolved. This requires such kind of intervention, which will be aimed not only at restoring of the anatomy, but also at correcting urinary incontinence - often in several stages. This article describes two clinical cases of urethral destruction in women with iatrogenic damage to the urethra.

Full Text

Restricted Access

About the authors

G. Yu Yarin

Novosibirsk Research Institute of Traumatology and Orthopedics n.a. Ya.L. Tsivyan; ANO Clinic NIITO

Email: yaringennadiy@icloud.com
Ph.D., leading researcher of the Functional Group of Neurovertebrology, Ya.L. Tsivyan Novosibirsk Research Institute of Traumatology and Orthopedics, Ministry of Health of Russia; urologist, Head of the surgical department ANO Clinic NIITO Novosibirsk, Russia

E. V Liuft

ANO Clinic NIITO

Email: evluft@mail.ru
gynecologist Novosibirsk, Russia

L. A Vilgelmi

ANO Clinic NIITO

Email: vilgelmi@ngs.ru
gynecologist Novosibirsk, Russia

References

  1. Onsrud M., Sjaveian S., Mukwege D. Complete destruction of urethra and bladder neck following symphysiotomy and results of attempted corrective surgery. Acta Obstet Gynecol Scand. 2008;87(5):574-576. doi: 10.1080/00016340802014748.
  2. Scott Russell C. Injuries of the female bladder and urethra. Edinb Med J. 1951 Sep;58(9):437-450.
  3. Hendren W.H. Construction of a female urethra using the vaginal wall and a buttock flap: experience with 40 cases. J Pediatr Surg. 1998;33(2): 180-187.
  4. Chassagne S., Zimmern P. Transvaginal closure of the bladder neck in women with a neurogenic bladder and destroyed urethra. Prog Urol. 1997 Apr;7(2):286-292.
  5. Durrant J.J., Ramasamy A., Salmon M.S., Watkin N., Sargeant I. Pelvic fracture-related urethral and bladder injury. J R Army Med Corps. 2013;159 Suppl 1:i32-39.
  6. Bhatt N.R., Merchant R., Davis N.F., Leonard M., O’Daly B.J., Manecksha R.P., Quinlan J.F. Incidence and immediate management of genitourinary injuries in pelvic and acetabular trauma: a 10-year retrospective study. BJU Int. 2018 Jul;122(1):126-132. doi: 10.1111/bju.14161.
  7. Lopez H.N., Focseneanu M.A., Merritt D.F. Genital injuries acute evaluation and management. Best Pract Res Clin Obstet Gynaecol. 2018;48:28-39. doi: 10.1016/j.bpobgyn.2017.09.009.
  8. Lоrаn O.B. Posttraumatic urethral destruction in women. Dissertation abstract, 1989. Russian (Лоран О.Б. Посттравматическая деструкция мочеиспускательного канала у женщин. Автореф. дисс. докт. мед. наук. М., 1989).
  9. Faiena L., Koprowski C., Tunuguntla H. Female Urethral Reconstruction. J Urol. 2016;195(3):557-567. doi: 10.1016/j.juro.2015.07.124.
  10. Yarin G.Yu. Method of the treatment of type III urinary incontinence in previously operated patients. Patent RF № 2566925, 11.11.2014. Bul. № 30. Russian (Ярин Г.Ю. Способ лечения недержания мочи III типа у ранее оперированных пациенток. Патент РФ № 2566925, 11.11.2014. Бюл. № 30).

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies