Pal Partha, Ray Sayantan, Talukdar Arunansu, Sonthalia Nikhil, Chakraborty Sumit
Department of Medicine, Calcutta National Medical College and Hospital, Kolkata, West Bengal, India.
Department of Medicine, Medical College and Hospital, Kolkata, West Bengal, India.
Indian J Radiol Imaging. 2014 Jan;24(1):87-90. doi: 10.4103/0971-3026.130714.
Most urethral strictures arise from iatrogenic, traumatic, or inflammatory causes. We report the familial occurrence of a congenital bulbar urethral stricture in two brothers. Retrograde and voiding cystourethrography was performed. A Cobb's collar was diagnosed after radiological and endoscopic evaluation in both cases and was successfully managed with urethroplasty. Cobb's collar is a rarely recognized cause of a membranous stricture of bulbar urethra that can lead to several urinary problems. In cases of adolescent and young adults presenting with symptoms of progressive urinary obstruction and enuresis with or without urinary tract infection, Cobb's collar can be seen as a minor constriction in the bulbar urethra, but is not frequently symptomatic, and the familial occurrence of such a stricture is even rarer.
大多数尿道狭窄由医源性、创伤性或炎症性原因引起。我们报告了两兄弟先天性球部尿道狭窄的家族性发病情况。进行了逆行性和排尿性膀胱尿道造影。经放射学和内镜评估,两例均诊断为科布氏环,并通过尿道成形术成功治疗。科布氏环是球部尿道膜性狭窄的一种罕见病因,可导致多种泌尿系统问题。在出现进行性尿路梗阻和遗尿症状(伴有或不伴有尿路感染)的青少年和年轻成年人中,科布氏环可表现为球部尿道的轻度狭窄,但通常无症状,而这种狭窄的家族性发病更为罕见。