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[一名年轻男性前列腺尿道多发结石伴射精障碍,揭示椎管底部存在脊髓拴系综合征等脊柱裂:关于一例罕见病例]

[Multiple stones of the prostatic urethra associated with anejaculation revealing spinal dysraphism such as tethered cord syndrome at the base of the spinal canal in a young man: about an exceptional case].

作者信息

Ahsaini Mustapha, Mellouki Adil, Mellas Soufiane, El Ammari Jalaleddine, Tazi Mohammed Fadl, El Fassi Mohammed Jamal, Farih Moulay Hassan

机构信息

Service d'Urologie, Centre Hospitalier Universitaire Hassan II de Fès, Maroc.

出版信息

Pan Afr Med J. 2019 Jul 3;33:165. doi: 10.11604/pamj.2019.33.165.18092. eCollection 2019.

Abstract

Spinal dysraphism (or spina bifida) is a neurological disorder representing the first cause of congenital urological disability. It has several clinical manifestations, vesicosphincteric and sexual disorders are frequent and rarely isolated, belonging to motor disorders, orthopedic, sensory, digestive or even cognitive impairments. Tethered cord syndrome at the base of the spinal canal is a complication of spinal dysraphism. This disorder is often detected in children, may be asymptomatic and found in adults. Bladder sphincter disorders are the main cause of morbi-mortality due to uronephrologic complications with a significant alteration in quality of life. This justifies specific management and multidisciplinary and strict monitoring. We here report an exceptional case of spinal dysraphism such as tethered cord syndrome at the base of the spinal canal found incidentally in an adult patient during an etiological assessment of lithiasis of the prostatic urethra associated with anejaculation .

摘要

脊柱裂(或脊柱裂畸形)是一种神经疾病,是先天性泌尿系统残疾的首要病因。它有多种临床表现,膀胱括约肌和性功能障碍很常见,很少单独出现,还属于运动障碍、骨科、感觉、消化甚至认知障碍。椎管底部的脊髓拴系综合征是脊柱裂的一种并发症。这种疾病常在儿童中被发现,可能无症状,也会在成人中出现。膀胱括约肌功能障碍是导致尿肾科并发症所致病死的主要原因,生活质量也会显著下降。这就需要进行特殊治疗以及多学科严格监测。我们在此报告一例罕见的脊柱裂病例,如在一名成年患者进行前列腺尿道结石病因评估并伴有射精障碍时偶然发现的椎管底部脊髓拴系综合征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7668/6760896/5d97d0adb47b/PAMJ-33-165-g001.jpg

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