Prolapso uretral tras esfuerzo físico. corrección quirúrgica

Regueiro, D. Pascual; Boned, M.A. Trívez; García, M.A. García; Martínez, A.; Espín, J. Carela; Sanz, Libia

doi:10.1016/s0210-4806(02)72847-7

Cited by 7 publications

(1 citation statement)

References 9 publications

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“…Other surgical options include placing a ligature on a urethral catheter, electrocoagulation of the tissue, or cryosurgery ( 3 ). Some teams treat urethral prolapse with surgery 24 h after diagnosis, viewing surgery as the simplest, fastest and most effective treatment ( 11 ).…”

Section: Introductionmentioning

confidence: 99%

Four vertex technique for correcting urethral prolapse: technique description and cohort study

Noya-Mourullo,

Herrero-Polo,

Heredero-Zorzo

et al. 2023

Front. Surg.

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Introduction/ObjectivesThis study aims to describe the procedure and effectiveness of the four-vertex technique for correcting urethral prolapse in women.Methods and Materialsincludes a retrospective case series of 17 patients who underwent surgery for urethral prolapse. Two study groups were distinguished based on the presence or absence of pelvic heaviness symptoms. The variables were analyzed, including age, BMI, concomitant diseases, obstetric and gynecological history, time from diagnosis to surgery, and outcomes of treatment.ResultsAll patients were postmenopausal, with a mean age at the time of the intervention of 70.41 years, with no differences between groups. Mean BMI was 23.67 kg/m2, higher in the group with a sensation of vaginal heaviness (p = 0.027). Mean time elapsed between diagnosis and operation was 231.58 days, with no differences between groups. Mean childbirth count was 2.29. The most frequent causes for consultation were urethrorrhagia (33.33%) and a bulging sensation (33.33%). After the intervention, 14 patients (82.35%) were asymptomatic, two (11.76%) had dysuria, and one (5.88%) had urinary urgency. Ten patients had pre-surgical urinary incontinence, which was resolved in nine patients. 17.46% subsequently presented pelvic organ prolapse. In three women there was secondary impairment of sexual activity.ConclusionThe four-vertex technique was effective in resolving symptoms in most patients. However, some patients experienced dysuria, urinary urgency, and pelvic organ prolapse after surgery. Urinary incontinence improved in most patients, but a few required additional treatments with suburethral tape. The study also identified associations between variables and the presence of cystocele, consultation for a bulging sensation, and bleeding from urethral prolapse. Overall, this study sheds light on the challenges and outcomes of surgical treatment for urethral prolapse and provides valuable insights for future research in this area.

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Section: Introductionmentioning

confidence: 99%

Four vertex technique for correcting urethral prolapse: technique description and cohort study

Noya-Mourullo,

Herrero-Polo,

Heredero-Zorzo

et al. 2023

Front. Surg.

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Prolapso de mucosa uretral en mujer posmenopáusica

Parra¹,

Lostal²,

Uruñuela³

et al. 2010

Actas Urológicas Españolas

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incurvació n, la asociació n o no a disfunció n eré ctil, etc. Si la longitud del pene es normal, con potencia sexual mantenida y la deformidad es leve o moderada (o501), la té cnica de Nesbit o la plicatura de la tú nica albugínea son adecuadas para corregir dicha deformidad y proporcional un pene funcional. En cambio, en pacientes con grandes placas, curvaturas graves (4501), deformidades en reloj de arena, pene corto, flacidez distal o fallo de cirugía previa, estará n indicadas la incisió n o la escisió n de la placa y la colocació n de un injerto, con o sin implantació n de pró tesis de pene, la cual quedaría reservada para pacientes con disfunció n eréctil que no han respondido a las terapias médicas 4,5 . Muchos tejidos de diferente origen han sido usados para corregir el defecto de la tú nica albugínea tras la incisió n/escisió n de una placa de Peyronie, pero el material ideal aú n no ha sido encontrado. En la actualidad, los injertos se pueden clasificar en: a) autó logos (fascia lata, fascia temporalis, fascia de Buck, tú nica vaginalis, vena safena, dermis, fascia dorsal de los rectos, mucosa bucal, etc.), siendo estos los má s utilizados; b) heteró logos (submucosa de intestino delgado porcino, pericardio bovino, etc.), y c) sintéticos (Dacron s , Dexon s , Gore-tex s , etc.), siendo la tendencia actual no utilizar estos ú ltimos a causa de su antigenicidad e inadecuadas propiedades funcionales 6,7 . Las

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