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以尿失禁为表现的女性尿道上裂

Female Epispadias Presenting as Urinary Incontinence.

作者信息

Jonuzi Asmir, Popovic Nusret, Zvizdic Zlatan, Milišic Emir, Karavdic Kenan, Paddy Dewan

机构信息

Clinic of Pediatric Surgery, Clinical Center University in Sarajevo, Bolnicka 25, 71 000 Sarajevo, Bosnia and Herzegovina.

Kind Cuts for Kids Australia.

出版信息

APSP J Case Rep. 2017 Mar 18;8(2):10. doi: 10.21699/ajcr.v8i2.548. eCollection 2017 Mar-Apr.

DOI:10.21699/ajcr.v8i2.548
PMID:28401037
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5371683/
Abstract

Isolated female epispadias without bladder exstrophy is a rare congenital anomaly affecting 1 in 484,000 females. The presenting features of female epispadias are urinary incontinence and abnormal anatomical features. A 6-year-old girl presented with primary urinary incontinence who on physical examination had a bifid clitoris and labia minora. The vagina and hymen were normal. Voiding cystourethrogram showed no reflux and a funnel shaped proximal urethra. With the diagnosis of isolated female epispadias, one-stage reconstruction of the urethra, bladder neck, labia minora and clitoris was performed.

摘要

孤立性女性尿道上裂且无膀胱外翻是一种罕见的先天性异常,发病率为484,000名女性中有1例。女性尿道上裂的主要表现为尿失禁和解剖结构异常。一名6岁女童因原发性尿失禁就诊,体格检查发现阴蒂分裂和小阴唇异常。阴道和处女膜正常。排尿性膀胱尿道造影显示无反流,近端尿道呈漏斗状。诊断为孤立性女性尿道上裂后,对尿道、膀胱颈、小阴唇和阴蒂进行了一期重建。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cea1/5371683/b51a080390b8/ajcr-8-10.f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cea1/5371683/544cc3396d2f/ajcr-8-10.f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cea1/5371683/c6e5ffb4ced7/ajcr-8-10.f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cea1/5371683/b51a080390b8/ajcr-8-10.f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cea1/5371683/544cc3396d2f/ajcr-8-10.f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cea1/5371683/c6e5ffb4ced7/ajcr-8-10.f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cea1/5371683/b51a080390b8/ajcr-8-10.f3.jpg

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引用本文的文献

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本文引用的文献

1
Female epispadias.女性尿道上裂
Afr J Paediatr Surg. 2011 May-Aug;8(2):215-7. doi: 10.4103/0189-6725.86066.
2
Congenital anomalies of the male urethra.男性尿道先天性异常。
Pediatr Radiol. 2007 Sep;37(9):851-62; quiz 945. doi: 10.1007/s00247-007-0495-0. Epub 2007 May 22.
3
Bladder exstrophy and epispadias complex in sibling: case report and review of literature.同胞中的膀胱外翻和尿道上裂复合体:病例报告及文献复习
Pediatr Surg Int. 2006 Sep;22(9):767-70. doi: 10.1007/s00383-006-1741-5. Epub 2006 Aug 1.
4
Female epispadias.女性尿道上裂
J Urol. 1997 Oct;158(4):1543-6.