Soares-Oliveira M, Mariz C, Estevão-Costa J, Carvalho J L, Teixeira A
Serviço de Pediatria Cirúrgica, Faculdade de Medicina do Porto, Hospital de São João, Porto, Portugal.
Actas Urol Esp. 2000 Nov-Dec;24(10):829-31. doi: 10.1016/s0210-4806(00)72556-3.
The Cobb's collar is a congenital narrowing of the bulbar urethra with variable clinical presentation and obstruction grade. Herein we report a clinical case of a 13-year-old boy presenting terminal macroscopic haematuria and post-mictional urethral bleeding. At cystoscopy a membrane on the bulbar urethra distal to the external sphincter and prominent vessels in the prostatic urethra were found. Transurethral endoscopic incision was carried out with no complications or recurrence at 9-month follow-up. The authors briefly review the embryopathogenesis, clinical features and treatment of this uncommon anomaly.
科布氏环是球部尿道的先天性狭窄,临床表现和梗阻程度各不相同。在此,我们报告一例13岁男孩的临床病例,该男孩出现终末肉眼血尿和排尿后尿道出血。膀胱镜检查发现外括约肌远端球部尿道有一层膜,前列腺尿道有明显血管。进行了经尿道内镜切开术,9个月随访时无并发症或复发。作者简要回顾了这种罕见异常的胚胎发病机制、临床特征和治疗方法。