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27例无肛直肠尿道瘘根治术后随访结果:6例有尿道憩室,其中3例无症状;2例尿后滴尿;1例尿淋漓;1例尿道狭窄,但无症状。发生这些并发症的原因与根治术有关。最主要是瘘管处理不当,Soave手术是形成尿道憩室的常见原因,另外损伤膀胱及前列腺后部的神经可引起排尿功能障碍。合理地选择术式和根治时机,手术时在尿道留置硬质或金属导管以判定瘘管和尿道关系,对防止术后并发症有重要意义。
27 cases without rectovaginal urethral fistula follow-up results: 6 cases of urethral diverticulum, of which 3 cases were asymptomatic; 2 cases of urinary drip after urination; 1 case of urine dripping; 1 case of urethral stricture, but no symptoms. The causes of these complications are related to radical surgery. The main fistula improper handling, Soave surgery is a common cause of formation of the urethral diverticulum, in addition to damage the bladder and prostate posterior nerve can cause urinary dysfunction. Reasonable choice of operation and radical timing, surgical urethral indwelling hard or metal catheter to determine the relationship between fistula and urethra, to prevent postoperative complications of great significance.