Transvaginal surgical repair of large urethral diverticula with bipedicle double-opposing flaps of the periurethral fascia.
Diverticulum
Flap
Large
Surgery
Urethra
Journal
International urogynecology journal
ISSN: 1433-3023
Titre abrégé: Int Urogynecol J
Pays: England
ID NLM: 101567041
Informations de publication
Date de publication:
Nov 2021
Nov 2021
Historique:
received:
21
06
2020
accepted:
30
07
2020
pubmed:
17
8
2020
medline:
16
11
2021
entrez:
16
8
2020
Statut:
ppublish
Résumé
The aims of this study were to describe a novel technique for transvaginal repair of large (> 4 cm) female urethral diverticulum (UD) using bipedicle double-opposing flaps of the periurethral fascia and to evaluate long-term follow-up. The medical records of 29 women who underwent transvaginal excision of UD at our institution were reviewed retrospectively. Seventeen cases with UD > 4 cm were included in the study. Cystourethroscopy was performed at the beginning of the surgery, and in 60% of cases the orifice of the diverticulum was identified. An inverted-U incision was performed at the vaginal anterior wall. The periurethral fascia was incised longitudinal at the midline and parallel to the urethra. The diverticular sac was dissected and resected. The neck of the diverticulum was closed with 4/0 vicryl suture. The periurethral fascia was sutured using bipedicle double-opposing flaps with interrupted 3/0 vircyl suture. The vaginal mucosa was sutured with 2/0 vicryl continuous suture. All 17 women with large UD were operated on using bipedicle double-opposing flaps of the periurethral fascia. Follow-up of 5 ± 2.4 years yielded no recurrence and no other late complications. Using bipedicle double-opposing flaps of the periurethral fascia during transvaginal excision of large UD is safe and effective.
Identifiants
pubmed: 32797263
doi: 10.1007/s00192-020-04486-z
pii: 10.1007/s00192-020-04486-z
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2969-2973Informations de copyright
© 2020. The International Urogynecological Association.
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