Doi Y, Matsui T, Takeyama M, Fujioka H, Sakaguchi T, Takahashi K, Nakamura M
Department of Urology, Osaka Central Hospital.
Hinyokika Kiyo. 1988 Jan;34(1):184-7.
This is a report of two cases of strangulated urethral prolapse we recently experienced. One patient, a 70-year-old woman, was admitted to our hospital because of dysuria, painful urination, genital mass (phi 3.0 cm) and bleeding. The other patient, 54 years old, visited our department complaining of pain on urination, and genital mass (phi 2.0 cm) and bleeding. Surgical excision was performed for these prolapsed urethra, and in pathological findings, vascular dilation, blood congestion and partial thromboformation were recognized. Their postoperative course was uneventful without recurrence or abnormal urination. Urethral prolapse is defined as the circular eversion of the urethral mucosa through the external meatus. This condition is a relatively uncommon lesion in the literature, but is a common clinical entity in postmenopausal women and prepubertal girls. Most of the urethral prolapses are small and asymptomatic, but if the prolapsed urethra is large, the mass becomes strangulated, and urinary symptoms, pain and bleeding are present. For the treatment of the urethral prolapse, surgical excision has been widely practiced and is successful.
这是一篇关于我们近期遇到的两例绞窄性尿道脱垂病例的报告。一名70岁女性患者因排尿困难、尿痛、生殖器肿物（直径3.0厘米）及出血入院。另一名54岁患者因尿痛、生殖器肿物（直径2.0厘米）及出血前来我科就诊。对这些脱垂的尿道进行了手术切除，病理检查发现有血管扩张、充血及部分血栓形成。她们术后恢复顺利，无复发及排尿异常。尿道脱垂定义为尿道黏膜经尿道口呈环状外翻。这种情况在文献中是相对少见的病变，但在绝经后女性和青春期前女孩中是一种常见的临床病症。大多数尿道脱垂较小且无症状，但如果脱垂的尿道较大，肿物会发生绞窄，并出现泌尿系统症状、疼痛及出血。对于尿道脱垂的治疗，手术切除已被广泛应用且效果良好。
