Khoja Safwan, Arafat Wasseem, Kohaut Eva, Horstmann Marcus
Helios Krankenhaus St. Josefshospital, Klinik für Urologie und Kinderurologie, Krefeld Uerdingen.
Augusta-Kranken-Anstalt gGmbH, Institut für Pathologie und Zytologie, Bochum.
Aktuelle Urol. 2022 Dec;53(6):535-539. doi: 10.1055/a-1351-8900. Epub 2021 Apr 14.
Urethral prolapses in humans are rare. Urethral caruncula are more frequent. Caruncula originate from the dorsal external layer of the urethral meatus. We report on the surgical approach used for the resection of a huge urethral prolapse in a postmenopausal woman with chronic constipation using the four-quadrants resection technique. After the procedure, the patient was quickly relieved from pain and micturition was improved. The patient was fully continent. Alternative treatments to surgical resection include conservative approaches with sitz baths and oestrogen cremes, manual reduction under general anaesthesia and ligation of the prolapse around a transurethral bladder catheter.
人类尿道脱垂很少见。尿道肉阜更为常见。肉阜起源于尿道口的背外侧层。我们报告了一名患有慢性便秘的绝经后妇女，使用四象限切除技术切除巨大尿道脱垂的手术方法。术后，患者疼痛迅速缓解，排尿得到改善。患者完全控尿。手术切除的替代治疗方法包括坐浴和雌激素乳膏的保守治疗、全身麻醉下的手法复位以及经尿道膀胱导管周围脱垂的结扎。
