Department of Paediatric Surgery, Bristol Royal Children's Hospital, Bristol, UK.
Department of Paediatric Surgery, Bristol Royal Children's Hospital, Bristol, UK; Department of Paediatric Surgery, Ain Shams University, Cairo, Egypt.
J Pediatr Urol. 2017 Dec;13(6):636. doi: 10.1016/j.jpurol.2017.08.008. Epub 2017 Sep 19.
We present a case of anterior deflected urinary stream (ADUS) secondary to meatal shelf with no dysfunctional voiding symptoms (DV). The video illustrates the presentation, operative management and literature review. Meatal deformity in girls has been described in association with DV. Hoebeke et al. highlighted the strong correlation between meatal abnormality and non-neurogenic bladder dysfunction in girls. They demonstrated that girls with ADUS had more severe dysfunction on urodynamics. Klijn et al. prospectively evaluated the effect of surgical meatal correction in girls with ADUS. They found that 39% of female patients with DV had ADUS, 50% of them were free of symptoms following surgical correction. This is the first reported case of an isolated ADUS without DV. Early correction of the anomaly is advocated to limit social distress, and potentially prevent development of DV.
我们报告了一例由于尿道板畸形导致的前向移位尿流（ADUS），但患者无功能性排尿障碍（DV）症状。视频展示了该病例的表现、手术处理方法和文献复习。女性尿道开口畸形已被描述与 DV 相关。Hoebeke 等人强调了尿道异常与女性非神经源性膀胱功能障碍之间的强烈相关性。他们发现 ADUS 女孩在尿动力学检查上有更严重的功能障碍。Klijn 等人前瞻性地评估了手术矫正尿道开口位置对 ADUS 女孩的影响。他们发现 39%有 DV 的女性患者存在 ADUS，50%在手术矫正后症状消失。这是首例报道的孤立性 ADUS 而无 DV 的病例。提倡早期矫正畸形，以减轻社交困扰，并可能预防 DV 的发展。
