Fukui Shinji, Aoki Katsuya, Kaneko Yoshiteru, Samma Shoji, Fujimoto Kiyohide
Department of Urology, Nara Prefectural Nara Hospital, Nara City, Nara, Japan.
Department of Urology, Nara Medical University, Kashihara City, Nara, Japan.
Urol Case Rep. 2014 Mar 18;2(3):105-7. doi: 10.1016/j.eucr.2014.02.006. eCollection 2014 May.
A 2-month-old boy was diagnosed with febrile urinary tract infection. Voiding cystourethrography showed bulbar and anterior urethral strictures, and endoscopic internal urethrotomy was performed. He developed febrile urinary tract infection again and revealed the recurrence of the anterior urethral stricture. Consequently, endoscopic internal urethrotomy was performed 4 times. Because the anterior urethral stricture had not improved, he was referred to us. Anterior urethroplasty was performed when he was 5 years. After excision of the scarred portions of the urethra, the defect of the urethra was 20 mm. Transperineal bulbar urethral mobilization was performed, and a single-stage end-to-end anterior urethroplasty without tension could be performed simultaneously.
一名2个月大的男婴被诊断为发热性泌尿道感染。排尿性膀胱尿道造影显示球部和前尿道狭窄，遂行内镜下尿道内切开术。他再次出现发热性泌尿道感染，且前尿道狭窄复发。因此，内镜下尿道内切开术又进行了4次。由于前尿道狭窄未改善，他被转诊至我们这里。患儿5岁时进行了前尿道成形术。切除尿道瘢痕部分后，尿道缺损为20毫米。进行了经会阴球部尿道游离术，同时可进行无张力的一期端端前尿道成形术。
