dc.creatorPalma, P C R
dc.creatorDambros, M
dc.creatorRiccetto, C L Z
dc.creatorThiel, M
dc.creatorNetto Júnior, N Rodrigues
dc.date2005-Feb
dc.date2015-11-27T13:02:05Z
dc.date2015-11-27T13:02:05Z
dc.date.accessioned2018-03-29T01:00:48Z
dc.date.available2018-03-29T01:00:48Z
dc.identifierActas Urologicas Españolas. v. 29, n. 2, p. 207-11, 2005-Feb.
dc.identifier0210-4806
dc.identifier
dc.identifierhttp://www.ncbi.nlm.nih.gov/pubmed/15881920
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/196253
dc.identifier15881920
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1296486
dc.descriptionTo analyse the success of transvaginal urethrolysis in resolving voiding dysfunction in patients following an anti-incontinence procedure. A retrospective chart review was performed on 20 patients who had undergone transvaginal urethrolysis for urethral obstruction following an anti-incontinence procedure. Preoperatively, a history was taken, pelvic examination and urodynamic were done. Mean patient age was 48 years, and the median time between the anti-incontinence procedure and the urethrolysis was nine months. Four patients had urinary retention and had irritative voiding symptoms. Previous surgery included pubovaginal sling in eleven patients, retropubic urethropexy in three and bladder neck suspension in six cases. Mean length of follow up after urethrolysis was 14 months. The urodynamic study demonstrated voiding flow rate of 9.9 ml/s and detrusor pressures at maximum flow of 48cmH20. Of the 20 patients 14 (70%) had relief of symptoms after a single urethrolysis, while two patients underwent a second transvaginal urethrolysis, with placement of a Martius flap between the urethra and the symphysis. There was no correlation between preoperative parameters examined and the outcome from urethrolysis. Our data support transvaginal urethrolysis for the treatment of urethral obstruction after anti-incontinence surgery. It is effective and minimally invasive technique with good results that should be considered if voiding dysfunction does not resolve spontaneously.
dc.description29
dc.description207-11
dc.languagespa
dc.relationActas Urologicas Españolas
dc.relationActas Urol Esp
dc.rightsfechado
dc.rights
dc.sourcePubMed
dc.subjectAdult
dc.subjectAged
dc.subjectFemale
dc.subjectHumans
dc.subjectMiddle Aged
dc.subjectPostoperative Complications
dc.subjectRetrospective Studies
dc.subjectTreatment Outcome
dc.subjectUrethra
dc.subjectUrethral Obstruction
dc.subjectUrinary Incontinence, Stress
dc.subjectUrinary Retention
dc.subjectUrodynamics
dc.subjectUrologic Surgical Procedures
dc.subjectVagina
dc.title[transvaginal Urethrolysis For Urethral Obstruction After Anti-incontinence Surgery].
dc.typeArtículos de revistas


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