Viviano Robert, Morganstern Bradley A, O'Toole Adam
Department of Surgery, Nassau University Medical Center, NY, USA.
Arthur Smith Institute of Urology, North Shore-Long Island Jewish Health System, NY, USA.
Urol Case Rep. 2014 Mar 12;2(2):55-7. doi: 10.1016/j.eucr.2014.01.001. eCollection 2014 Mar.
A 35-year-old male patient with a past history of traumatic penile amputation and subsequent penile reconstruction with a radial artery free flap phalloplasty presented to the urology clinic for urinary retention and complaint of a firm penile mass. The patient had been lost to follow-up for 2 years before this presentation. Patient had a suprapubic tube in place from initial surgery, with imaging showing 2 large uroliths encrusted around the end. Urethral stricture was suspected in the patient. On cystoscopy, an additional obstructing urolith was found in penile urethra, appearing to have formed in situ.
一名35岁男性患者,既往有外伤性阴茎离断史,随后接受了桡动脉游离皮瓣阴茎成形术进行阴茎重建,因尿潴留和阴茎肿物坚硬前来泌尿外科门诊就诊。在此次就诊前,该患者失访2年。患者初次手术后留置耻骨上导尿管,影像学检查显示导尿管末端有2块巨大的尿路结石形成。怀疑患者存在尿道狭窄。膀胱镜检查发现阴茎尿道内另有一块阻塞性尿路结石,似乎是原位形成的。