阴茎全切术后尿道癌的尿道重建。

Urethral reconstruction after total penectomy for urethral cancer.

作者信息

de Jesus Carlos M N, Kawano P R, Yamamoto H A, Trindade Filho J C S, Agostinho A D, Correa L A

机构信息

Department of Urology, Botucatu Medical School, Paulista State University, Botucatu, São Paulo, Brazil.

出版信息

Urol Int. 2004;72(4):281-3. doi: 10.1159/000077678.

DOI:10.1159/000077678

PMID:15153723

Abstract

A 59-year-old white man developed a ventral ulcer with irregular limits in the middle portion of the penis. The result of the pathologic analysis was compatible with invasive squamous cell urethral carcinoma. A total penectomy was performed. In these cases, the usually recommended urinary diversion is perineal urethrostomy. However, due to the specifications of the case, perineal urethrostomy could not be performed. The literature did not offer any other alternative for patients with this same condition. Therefore, a urethral reconstruction using a groin skin flap had to be performed.

摘要

一名59岁的白人男性阴茎中部出现了一个边界不规则的腹侧溃疡。病理分析结果与浸润性鳞状细胞尿道癌相符。遂进行了全阴茎切除术。在这些病例中，通常推荐的尿流改道方式是会阴尿道造口术。然而，由于该病例的具体情况，无法进行会阴尿道造口术。文献中也没有为患有相同病症的患者提供其他替代方案。因此，不得不采用腹股沟皮瓣进行尿道重建。