Sugimoto Mikio, Ueda Nobufumi, Kakehi Yoshiyuki
Department of Urology, Sakaide Municipal Hospital.
Hinyokika Kiyo. 2003 Mar;49(3):165-8.
We report three cases of congenital urethral stricture in boys. They were 8, 7 and 5 years old. They complained of enuresis both day and night. Voiding cystography revealed bulbar narrowing (Cobb's Collar) in all cases, and vesico-ureteral reflux (VUR) occurred in two cases (three ureters). Endoscopically this lesion showed ring-form stenosis just distal to the urethral sphincter, and incised by using an infantile urethrotome. After the operation, VUR resolved in two ureters and improved in one. In all cases, daytime enuresis resolved dramatically, and night enuresis became controllable. Congenital urethral stenosis in boys is an important clinical entity in pediatric urology, and is not such a rare disease.
我们报告了3例男孩先天性尿道狭窄病例。他们的年龄分别为8岁、7岁和5岁。他们均主诉日夜遗尿。排尿性膀胱尿道造影显示,所有病例均存在球部狭窄(科布环),2例(3条输尿管)发生膀胱输尿管反流(VUR)。内镜检查显示,该病变位于尿道括约肌远端呈环形狭窄,使用小儿尿道切开刀进行切开。术后,2条输尿管的VUR消失,1条改善。所有病例白天遗尿均显著缓解,夜间遗尿变得可控。男孩先天性尿道狭窄是小儿泌尿外科的一个重要临床病症,并非罕见疾病。