Mitsukawa Nobuyuki, Kubota Yoshitaka, Akita Shinsuke, Hasegawa Masakazu, Saiga Atsuomi, Satoh Kaneshige
Department of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Chiba University, Chiba, Japan.
Department of Plastic and Reconstructive Surgery, St. Mary's Hospital, Fukuoka, Japan.
Low Urin Tract Symptoms. 2016 Sep;8(3):191-3. doi: 10.1111/luts.12089. Epub 2015 Jan 29.
The patient was a 3-year-old with hypospadias. Urethroplasty was performed as a two-stage procedure, but a severe urethral stricture occurred due to a postoperative infection and the patient was virtually in urinary retention. An emergency cystostomy was performed, and thereafter urethral reconstruction was performed. A large urethral diverticulum had formed in the scrotum. The inner wall of the diverticulum was found to be completely epithelialized and well vascularized. Therefore, it was elevated as a skin flap and a neourethra was reconstructed up to the glans region using the diverticular tissue.
Postoperative complications were not observed, and micturition was satisfactory.
A urethral diverticulum is one of the often encountered complications of hypospadias surgery. However, there are only a few literature reports related to the treatment of urethral diverticulum. In addition, there are almost no reports on reconstructions using urethral diverticular tissue. In this report, we describe such a treatment experience.
该患者为一名3岁的尿道下裂患儿。尿道成形术分两期进行，但术后感染导致严重尿道狭窄，患者几乎出现尿潴留。遂行急诊膀胱造瘘术，此后进行尿道重建。阴囊内形成了一个大的尿道憩室。发现憩室内壁完全上皮化且血运良好。因此，将其作为皮瓣掀起，并利用憩室组织在龟头区域重建了新尿道。
未观察到术后并发症，排尿情况良好。
尿道憩室是尿道下裂手术常见的并发症之一。然而，关于尿道憩室治疗的文献报道较少。此外，几乎没有关于使用尿道憩室组织进行重建的报道。在本报告中，我们描述了这样一种治疗经验。
