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首页> 外文期刊>Case Reports in Transplantation >Transurethral Incision of the Bladder Neck in a Woman with Primary Bladder Neck Obstruction after Kidney Transplantation
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Transurethral Incision of the Bladder Neck in a Woman with Primary Bladder Neck Obstruction after Kidney Transplantation

机译：肾移植术后原发性膀胱颈梗阻妇女膀胱颈经尿道切口

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摘要

Voiding dysfunction is frequently seen in the early posttransplant period. Among other causes, this condition can arise due to bladder outlet obstruction. Primary bladder neck obstruction (PBNO) is a possible but very rare cause of bladder outlet obstruction. We present the case of a 52-year-old woman who, after kidney transplantation, presented with PBNO. The diagnosis was established based on symptoms, uroflowmetry, and multichannel urodynamics with electromyography. The transurethral incision of the bladder neck was made at the 5- and 7-o’clock position. After the operation, the maximal flow rate was significantly increased, and postvoid residual urine was decreased compared to the preoperative findings. The patient was followed for 5 years, and her voiding improvement is persistent. This is the first reported case of PBNO treated with a transurethral incision of the bladder neck in a posttransplantation female patient.
机译：呕吐功能障碍在移植后的早期阶段很常见。除其他原因外，这种情况可能是由于膀胱出口阻塞而引起的。原发性膀胱颈阻塞（PBNO）是可能的，但很少见的引起膀胱出口阻塞的原因。我们介绍了一个52岁女性的案例，该女性在肾脏移植后出现了PBNO。诊断是根据症状，尿流法和肌电图检查的多通道尿动力学进行的。在5点和7点钟位置进行膀胱颈部经尿道切口。与术前相比，手术后的最大流量明显增加，而术后残余尿减少。对该患者进行了5年的随访，其排尿功能得到了持续改善。这是在移植后的女性患者中首次经膀胱颈部经尿道切口治疗的PBNO。

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