Katsu Akifumi, Yanagi Masato, Motoda Norio, Kono Hiroyoshi, Kimata Ryoji, Hamasaki Tsutomu, Kondo Yukihiro
Department of Urology Nippon Medical School Musashikosugi Hospital Kawasaki Kanagawa Japan.
Department of Pathology Nippon Medical School Musashikosugi Hospital Kawasaki Kanagawa Japan.
IJU Case Rep. 2024 Jul 6;7(5):368-370. doi: 10.1002/iju5.12756. eCollection 2024 Sep.
We encountered a case of urinary retention caused by a urethral caruncle.
An 86-year-old woman presented to our hospital with urinary retention. When the urinary bladder catheter was placed, a smooth, well-defined mass 20 mm in diameter was detected on the posterior wall of the external urethral meatus. The patient was diagnosed with urinary retention due to a urethral caruncle, and the mass was resected. The mass was pathologically compatible with a urethral caruncle. The patient could urinate postoperatively. Ultrasound test after surgery showed residual urine volume was 100 mL.
Inspecting the urethral meatus is vital in the clinical examination of older women with voiding symptoms. A urethral caruncle is a rare cause of urinary retention. However, large urethral caruncles are at risk of causing urinary retention suggesting that resecting the urethral caruncles at an appropriate time is desirable.
我们遇到一例由尿道肉阜引起的尿潴留病例。
一名86岁女性因尿潴留前来我院就诊。放置膀胱导尿管时，在外尿道口后壁发现一个直径20毫米、表面光滑、边界清晰的肿物。该患者被诊断为因尿道肉阜导致的尿潴留，肿物被切除。病理检查结果显示该肿物与尿道肉阜相符。患者术后能够自行排尿。术后超声检查显示残余尿量为100毫升。
在对有排尿症状的老年女性进行临床检查时，检查尿道口至关重要。尿道肉阜是导致尿潴留的罕见原因。然而，较大的尿道肉阜有导致尿潴留的风险，这表明在适当的时候切除尿道肉阜是可取的。
