Kuribayashi Sohei, Okusa Takuya, Tanigawa Go, Yamamichi Gaku, Kawamura Masataka, Nakano Kosuke, Kishimoto Nozomu, Tsutahara Koichi, Takao Tetsuya, Horiguchi Akio, Yamaguchi Seiji
Department of Urology, Osaka General Medical Center.
(Present address: Department of Urology, Osaka Medical Center and Research Institute for Maternal and Child).
Nihon Hinyokika Gakkai Zasshi. 2017;108(1):52-55. doi: 10.5980/jpnjurol.108.52.
We report a case of pelvic fracture urethral injury reconstructed by anastomotic urethroplasty. A 24-year-old male was referred to our hospital because of pelvic trauma accompanying ischial fracture. Retrograde urethrography showed urethral disruption and suprapubic catheter was inserted. One week later, we underwent endoscopic realignment. Three months later, we removed the Foley balloon catheter after we had checked that there was no stricture by the voiding cystourethrogram. However, 5 days after that, he came to our hospital because of urinary retention. Cystoscopy detected urinary stricture between bulbar and membranous urethra. We decided to do deferred urethroplasty. Five months after that we performed anastomotic urethroplasty. He was discharged 31 days after the operation. No stricture has been detected for 7 months postoperatively.
我们报告一例通过吻合性尿道成形术重建骨盆骨折所致尿道损伤的病例。一名24岁男性因伴有坐骨骨折的骨盆创伤被转诊至我院。逆行尿道造影显示尿道断裂，遂插入耻骨上导尿管。一周后，我们进行了内镜下复位。三个月后，在通过排尿性膀胱尿道造影检查确认无狭窄后，我们拔除了Foley气囊导尿管。然而，在此之后5天，他因尿潴留前来我院。膀胱镜检查发现球部尿道与膜部尿道之间存在尿道狭窄。我们决定进行延期尿道成形术。五个月后，我们实施了吻合性尿道成形术。术后31天他出院。术后7个月未检测到狭窄。
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