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Title: | Video and review of the surgical management of recurrent urethral diverticulum. | Authors: | Dwyer P.;Zilberlicht A.;Dykes N.;Rosamilia A. | Institution: | (Dykes, Dwyer, Zilberlicht) Mercy Hospital for Women, Melbourne, VIC, Australia (Dykes) North Shore Hospital, Auckland, New Zealand (Rosamilia) Monash Medical Centre, Melbourne, VIC, Australia | Issue Date: | 15-Mar-2021 | Copyright year: | 2020 | Publisher: | Springer Science and Business Media Deutschland GmbH | Place of publication: | United Kingdom | Publication information: | International Urogynecology Journal. 31 (12) (pp 2679-2681), 2020. Date of Publication: December 2020. | Journal: | International Urogynecology Journal | Abstract: | Introduction: Recurrent urethral diverticulum has been reported in 23% of cases after primary repair and can be difficult to manage. The aim of this video is to demonstrate a surgical technique of repairing a recurrent diverticulum in a woman who had two previous procedures, one with a Martius labial fat pad graft. Method(s): A 40-year-old woman presented with a symptomatic recurrent urethral diverticulum after two previous repairs. She underwent surgery with excision of the diverticular mucosa and multilayer urethral closure using the diverticulum wall after mobilization and then repositioning of the Martius labial fat pad interposition. Result(s): There were no surgical complications intra- or postoperatively, and the patient had improvement of her symptoms postoperatively with resolution of the diverticulum on ultrasound. Conclusion(s): Mobilizing and repositioning a Martius labial fat pad is a feasible technique for complex recurrent urethral diverticulum repairs. The graft alone without meticulous urethral repair will not prevent diverticulum recurrence, fistula formation or stress urinary incontinence. This procedure requires experienced surgeons to minimize surgical complications and optimize outcome.Copyright © 2020, The International Urogynecological Association. | DOI: | http://monash.idm.oclc.org/login?url= http://monash.idm.oclc.org/login?url=http://dx.doi.org/10.1007/s00192-020-04357-7 |
PubMed URL: | 32494960 [http://www.ncbi.nlm.nih.gov/pubmed/?term=32494960] | ISSN: | 0937-3462 | URI: | https://repository.monashhealth.org/monashhealthjspui/handle/1/27001 | Type: | Article | Subjects: | human medical history mucosa nuclear magnetic resonance imaging peroperative complication physical activity postoperative pain postoperative period priority journal *recurrent disease/di [Diagnosis] *recurrent disease/su [Surgery] risk reduction *stress incontinence/co [Complication] *stress incontinence/di [Diagnosis] surgeon surgical technique suture technique urethra *urethra diverticulum/di [Diagnosis] *urethra diverticulum/su [Surgery] urethral pain urethrography urinary tract infection/dt [Drug Therapy] urinary urgency urodynamics urogynecologist vagina mucosa vagina reconstruction vaginal cyst/su [Surgery] *videorecording ascorbic acid/dt [Drug Therapy] methenamine hippurate/dt [Drug Therapy] indwelling urinary catheter suture urological retractor Brandley Scott retractor symptom adult article case report clinical article clinical examination clinical outcome cystectomy cystoscopy dyspareunia echography excision fat pad female fistula follow up four-dimensional imaging female fistula follow up four-dimensional imaging human medical history mucosa nuclear magnetic resonance imaging peroperative complication physical activity postoperative pain postoperative period priority journal *recurrent disease / *diagnosis / *surgery risk reduction *stress incontinence / *complication / *diagnosis surgeon surgical technique suture technique symptom urethra *urethra diverticulum / *diagnosis / *surgery urethral pain urethrography urinary tract infection / drug therapy urinary urgency case report urogynecologist vagina mucosa vagina reconstruction vaginal cyst / surgery *videorecording Article adult urodynamics clinical article clinical examination clinical outcome cystectomy cystoscopy dyspareunia echography excision fat pad |
Type of Clinical Study or Trial: | Case series or case report |
Appears in Collections: | Articles |
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