根治性膀胱切除术后迟发性尿道复发：一种罕见的表现，造成诊断困境。
Postradical cystectomy delayed urethral recurrence: a rare presentation posing diagnostic dilemma.
作者信息
Navriya Shiv Charan, Singh Vikram, Choudhary Gautam Ram, Tripathi Shashank
机构信息
Urology, All india Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Urology, All india Institute of Medical Sciences, Jodhpur, Rajasthan, India
出版信息
BMJ Case Rep. 2023 Dec 12;16(12):e256700. doi: 10.1136/bcr-2023-256700.
Abstract
The incidence of urethral recurrence after radical cystectomy is 1% to 8%, with most cases occurring within the first 2 years of surgery. Prophylactic urethrectomy is rarely performed nowadays due to no known survival benefit and increased morbidity due to the procedure. However, we encountered a rare case of delayed urethral recurrence presenting as recurrent urethral collection 4 years after radical cystectomy with ileal conduit diversion, posing a diagnostic dilemma.
摘要
根治性膀胱切除术后尿道复发的发生率为1%至8%，大多数病例发生在手术后的头2年内。由于目前尚无明确的生存获益，且该手术会增加发病率，因此预防性尿道切除术如今很少施行。然而，我们遇到了一例罕见的延迟性尿道复发病例，该病例表现为在根治性膀胱切除术后4年，采用回肠导管改道术时出现复发性尿道积液，这带来了诊断上的难题。
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