Lee Da-Eun, Kim Kyu-Chang, Jeong Soon-Wuk, Yoon Hun-Young
Department of Veterinary Surgery, College of Veterinary Medicine, Konkuk University, #120 Neungdong-ro, Gwangjin-gu, Seoul 05029, South Korea.
J Vet Med Sci. 2019 Feb 19;81(2):237-240. doi: 10.1292/jvms.18-0190. Epub 2018 Dec 26.
A castrated male Shih-Tzu dog was presented for evaluation of urine leakage after urethrotomy. A fistula with urine leakage was identified in the perineal region. On retrograde urethrography, the contrast extravasated from the penile urethra into the subcutaneous tissue of the perineum. Urine leakage with urethrocutaneous fistula was diagnosed. During surgery, the disrupted urethra wall and two urethral defects were identified. A fascia lata autograft was used, rather than primary repair of the urethra. Two pieces of fascia lata were harvested and sutured to the urethral defects. The fistula was treated with debridement and drainage. No evidence of urine leakage and dysuria was noted 6 months postoperatively. Thus, this case report describes successful urethral reconstruction using a fascia lata autograft.
一只去势的雄性西施犬因尿道切开术后尿漏前来评估。在会阴区发现一个有尿漏的瘘管。逆行尿道造影显示,造影剂从阴茎尿道渗入会阴皮下组织。诊断为尿道皮肤瘘伴尿漏。手术中,发现尿道壁破裂和两个尿道缺损。采用自体阔筋膜移植,而非尿道一期修复。取两块阔筋膜并缝合到尿道缺损处。对瘘管进行清创和引流处理。术后6个月未发现尿漏和排尿困难的迹象。因此,本病例报告描述了使用自体阔筋膜成功进行尿道重建的情况。