[Female urethrocele. Difficult diagnosis and therapy. Apropos of 10 cases].
The authors present 10 cases of urethrocele, 5 of which were diagnosed after a delay of 1 to 12 years after onset of the initial signs. A single case of endoscopic treatment: opening of the neck in an elderly patient in poor general condition; 9 excisions of the urethrocele pouch with a single transient urethro-vaginal fistula which closed spontaneously. There were no cases of postoperative incontinence. Installation of the patient in the ventral decubitus position with the thighs semi-flexed in abduction provides much greater operative comfort to the classical gynaecological position. The use of an L-shaped vaginal incision, not in the line of the urethra, limits the risks of secondary fistula.
Sachot
J L
JL
Chirurgie Urologique, Clinique La Sagesse, Rennes.
Ratajczak
A
A
D000328:Adult; D000368:Aged; D004724:Endoscopy; D005260:Female; D006801:Humans; D008875:Middle Aged; D014522:Urethral Diseases / Q000175:diagnosis / Q000601:surgery
Les urétrocèles féminines. Difficultés diagnostiques et thérapeutiques. A propos de dix cas.