Kajiwara Mitsuru, Inoue Katsumi, Kato Masao, Usui Akihiro, Matsubara Akio, Usui Tsuguru
Department of Urology, Division of Frontier Medical Science, Programs for Biomedical Research, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan.
Int J Urol. 2007 Feb;14(2):156-60. doi: 10.1111/j.1442-2042.2007.01617.x.
To elucidate the pathophysiology of congenital obstruction of the anterior urethra and to investigate the association between anterior urethral valves and syringocele. Three boys with congenital obstruction of the anterior urethra diagnosed at our department between 1997 and 2004 were analyzed retrospectively. All three boys had congenital obstruction in the bulbar urethra. The presenting symptoms and age of each patient were varied. Whereas continuity between Cowper's duct and the diverticulum was not demonstrated radiographically in all of the boys, it was speculated endoscopically in all. Our series has suggested a possible association between anterior urethral valves (diverticulum) and syringocele. These congenital anomalies of the anterior urethra should be considered in the differential diagnosis of obstructive lesions of the urinary tract.
为阐明先天性前尿道梗阻的病理生理学，并研究前尿道瓣膜与尿道憩室之间的关联。对1997年至2004年间在我科诊断为先天性前尿道梗阻的3名男孩进行回顾性分析。所有3名男孩均在球部尿道存在先天性梗阻。每位患者的临床表现和年龄各不相同。虽然并非所有男孩在影像学上均显示出考珀腺管与憩室之间的连续性，但在内镜检查中均推测存在这种连续性。我们的系列研究提示前尿道瓣膜（憩室）与尿道憩室之间可能存在关联。在尿路梗阻性病变的鉴别诊断中应考虑这些先天性前尿道异常。
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