Mitsuhashi M, Nakatani T, Kawashima H, Han Y S, Harima M, Kobayakawa H, Yamamoto K, Kishimoto T
Department of Urology, Osaka City University Medical School.
Hinyokika Kiyo. 2000 Apr;46(4):277-8.
A 20-year-old men fell from a ladder in 1995, striking his perineum strongly, and macroscopic hematuria with painful urination lasted for several days. Subsequently, swelling of the perineum on urination continued to occur. However, he did not seek medical treatment until July 1997, when he consulted our medical institution. A diverticulum-like change was found in the bulbous urethra on urethrocystography, and a tear in the same position on urethroscopy. On September 22, 1997, surgery was performed after constructing a cystostomy, the tear was located using a urethroscope, and closed through a perineal approach. At 14 days after surgery, there was extra-urethral leakage of contrast media on voiding cystourethrography, and at 28 days after surgery, the findings showed improvement. Since then, he has been free of the preoperative symptoms.
一名20岁男性于1995年从梯子上跌落，会阴部受到强烈撞击，肉眼血尿伴尿痛持续了数天。随后，排尿时会阴部持续肿胀。然而，直到1997年7月他到我们医疗机构就诊，此前他一直未寻求治疗。尿道膀胱造影显示球部尿道有憩室样改变，尿道镜检查发现同一位置有撕裂。1997年9月22日，在进行膀胱造瘘术后实施手术，用尿道镜确定撕裂位置，并经会阴途径进行缝合。术后14天，排尿性膀胱尿道造影显示有造影剂尿道外漏，术后28天，检查结果显示有所改善。此后，他术前的症状消失。
