Leiomyoma of the female urethra: urodynamic changes after surgical intervention.

Autor: Kenji Goto, Sanae Orisaka, Tetsuji Kurokawa, Mika Miyazaki, Fumikazu Kotsuji
Zdroj: International Urogynecology Journal; Apr2005, Vol. 16 Issue 2, p162-164, 3p
Abstrakt: Abstract Leiomyoma of the urethra is a relatively rare condition often presenting as an anterior vaginal wall mass or a mass that protrudes from the urethral meatus. We report on the urodynamic changes after vaginal surgery to remove a suburethral leiomyoma, which protruded from the vaginal orifice resulting in dysuria and dyspareunia. Urodynamic studies before the operation revealed a high detrusor pressure, low maximum flow rate with an elevated post-void residual urine on voluntary voiding, and high resting urethral resistance. Removal of the mass with proper reconstruction of paraurethral support restored normal detrusor pressure, maximum flow rate, and post-void residual, resulting in amelioration of her voiding difficulty and dyspareunia. The operative procedure did not affect leak point pressure and she is free from stress urinary incontinence. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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