Bödeker J, Egle N, Bandhauer K
Urologe A. 1975 Jan;14(1):15-9.
On 4 male adults we demonstrated a congenital urethral diverticulum. The clinical symptomatology mainly showed the inflammatory micturition difficulties, while the obstructive micturtition symptomatology of the childhood was hardly registered by the patients. Injection and micturition urethrogram led to the diagnosis. The mostly additional obstructive effect of a diverticulum can be well diagnosed by urodynamic investigations (cystourethromanometry and uroflowmetry). We used the following treatment: removal of the membrane between diverticulum and urethra and resection of the urethral diverticulum with primary urethral obstruction. The advantages of an open approach in comparison to endoscopical therapy were pointed out.
我们在4名成年男性中发现了先天性尿道憩室。临床症状主要表现为炎性排尿困难，而童年期的梗阻性排尿症状患者几乎未察觉。注射及排尿尿道造影有助于诊断。憩室大多具有的额外梗阻作用可通过尿动力学检查（膀胱尿道测压法和尿流率测定）很好地诊断出来。我们采用了以下治疗方法：切除憩室与尿道之间的隔膜，并切除伴有原发性尿道梗阻的尿道憩室。指出了开放手术相对于内镜治疗的优点。
