Wang Shao-Chuan, Lin Alex T L, Chen Kuang-Kuo
Department of Surgery, Division of Urology, Taipei Veterans General Hospital, National Yang-Ming University, No. 201 Section 2 Shih-Pai Road, Taipei, Taiwan 11217, China.
Neurourol Urodyn. 2007;26(2):271-3. doi: 10.1002/nau.20205.
Primary male urethral diverticulum is quite uncommon. It is even more unusual for urinary incontinence to be a presenting symptom of primary male urethral diverticulum. Herein, we report on a 32-year-old male presenting with urine leakage on coughing or abdominal strain beginning from his early twenties. A congenital type bulbar urethral diverticulum is diagnosed by voiding cystourethrography and cystourethroscopy. Endoscopic unroofing of the diverticulum freed the patient from stress urinary incontinence after the surgery.
原发性男性尿道憩室相当罕见。尿失禁作为原发性男性尿道憩室的首发症状则更为少见。在此,我们报告一名32岁男性,从二十出头开始出现咳嗽或腹部用力时漏尿的情况。通过排尿性膀胱尿道造影和膀胱尿道镜检查诊断为先天性球部尿道憩室。憩室内镜去顶术后使患者摆脱了压力性尿失禁。