Abstract:
Introduction: Inconsistencies exist in the nomenclature pertaining to the terms dorsal and ventral female urethra. This survey study was devised to demonstrate this inconsistency, and to identify any surgeon characteristics that contribute to this confusion in urologic and gynecologic reconstructive surgeons.Methods: Genitourinary surgeons were anonymously surveyed using email and social media platforms and asked how they would anatomically label 2 distinctly indicated regions of the female urethra using \"dorsal\" and \"ventral\" nomenclature. χ2 statistical analyses were used to compare categorical responses.Results: We received a total of 155 responses: 128 urologists, 26 gynecologists, and 1 medical student. The medical student was excluded from the analysis. Responses to the red/dorsal marker were 48% dorsal, 27% ventral, and 25% free response. Responses to the green/ventral marker were 52% ventral, 26% dorsal, and 22% free response. Urologists were more likely than gynecologists to use the correct \"dorsal\" label (χ2 [1, N = 122] = 33.6, P < .00001) and \"ventral\" label (χ2 [1, N = 124] = 32.3, P < .00001). There was no statistically significant difference between attendings vs trainees responding either \"dorsal\" or \"ventral\" to describe the red marker (χ2 [1, N = 124] = 0.24, P < .63) or the green marker (χ2 [1, N = 122] = 0.21, P < .65).Conclusions: The terms dorsal and ventral female urethra are not consistent between urologist and gynecologist reconstructive surgeons, and efforts to standardize terminology should be made at the residency training level.
摘要:
多年来,文献中关于使用术语“背侧”和“腹侧”来描述女性尿道存在不一致之处。作者设计了一项调查研究,以证明泌尿生殖道外科医生之间的这种不一致。当被要求给背侧尿道贴上标签时,48%的受访者正确地将其标记为“背部”,27%的人错误地将其标记为腹侧,“25%的人选择写入回复。当被要求给腹侧尿道贴上标签时,52%的受访者正确地将其标记为“腹侧”,“26%的人错误地将其标记为“背侧”,”和22%的人选择写入回复。女性尿道的显着错误标记为建立标准化术语提供了依据。几十年来,这种术语混淆一直是泌尿生殖系统文献中潜伏的一个未解决的问题,早在2005年就发表在《泌尿学杂志》上的一篇文章就表明了这种不当术语的使用。我们不能继续忽视这个问题,作为一个社区,我们必须做得更好,通过大社会的更多认识和干预,尽快纠正这个问题,教科书中更明确的描述强调女性尿道解剖。