Podestá E, di Rovasenda E, Sangiorgio L, Sanfilippo F, di Stefano A
Clínica Pediátrica 1, Istituto Giannina Gaslini, Génova, Italia.
Cir Pediatr. 1991 Jan;4(1):8-11.
In the past eight years, we observed 23 cases of neonatal urethral obstruction: 15 posterior urethral valves, one urethral polyp, two urethral diverticula, one penile urethra hypoplasia, two syringoceles, one scafoid urethra, one urethral agenesis in Prune Belly syndrome. In most cases a prenatal diagnosis of uropathy had been made by ultrasonography that allowed a faster diagnosis and possibly a long-term better prognosis in those patients in which early treatment reduced postnatal damage. In all patients endoscopic resection was performed under direct view. In 14 of them endoscopic treatment solved the problem, while further surgery on the upper urinary tract was needed in the others. We had no stenotic nor other-short and medium-term complications. The incidence of renal dysplasia is high with posterior urethral valves, while upper urinary tract damages are sensibly less frequent with more distal obstructions.
在过去八年中，我们观察了23例新生儿尿道梗阻病例：15例后尿道瓣膜、1例尿道息肉、2例尿道憩室、1例阴茎尿道发育不全、2例尿道囊肿、1例舟状尿道、1例梅干腹综合征中的尿道闭锁。多数情况下，通过超声检查在产前做出了泌尿系统疾病的诊断，这使得能够更快地做出诊断，并且对于那些早期治疗减少了产后损伤的患者，可能会有更好的长期预后。所有患者均在直视下进行了内镜切除术。其中14例通过内镜治疗解决了问题，而其他患者则需要对上尿路进行进一步手术。我们没有出现狭窄或其他中短期并发症。后尿道瓣膜患者肾发育不良的发生率较高，而梗阻部位越靠远端，上尿路损伤的发生率明显较低。
