Destito A, Racioppi M, Sasso F, D'Addessi A, Gulino G, Alcini E
Istituto di Clinica Chirurgica Generale e Terapia Chirurgica, Università Cattolica del Sacro Cuore, Roma, Italia.
Eur Urol. 1993;24(2):248-50. doi: 10.1159/000474303.
From 1986 to 1990, 8 cases of urethrospongiosal fistulas were observed. All the patients had a history of bleeding after a difficult catheterization. The symptoms were not pathognomonic but the fistulas were visible only by X-ray examination. The authors suggest that urethrospongiosal fistulas are more common than one expects, especially in cases of bleeding after complicated catheterization. This is more frequent when coexistent urethral strictures or prostatic hypertrophy make the maneuver difficult. The authors also suggest that the urinary extravasation in the corpus spongiosum could explain the pathophysiology of the urethral manipulation syndrome according to Kelamy.
1986年至1990年期间，观察到8例尿道海绵体瘘。所有患者均有导尿困难后出血史。症状不具有特异性，但瘘管仅通过X线检查可见。作者认为尿道海绵体瘘比预期更为常见，尤其是在复杂导尿后出血的病例中。当并存尿道狭窄或前列腺肥大导致操作困难时，这种情况更为常见。作者还认为，根据凯拉米的理论，海绵体内的尿液外渗可以解释尿道操作综合征的病理生理学。
