青少年男性特发性尿道炎
Idiopathic urethritis in the adolescent male.
作者信息
Dewan P A, Wilson T M
机构信息
Women's and Children's Hospital, Department of Paediatrics, University of Adelaide, Australia.
出版信息
Eur Urol. 1996;30(4):494-7. doi: 10.1159/000474222.
OBJECTIVE
To study adolescent males presenting with protracted blood spotting and dysuria in an attempt to further understand the precise pathology and endoscopic findings in these boys.
METHODS
Over a 3-year period the 7 patients had video endoscopies and tests to exclude infective and immunological disease.
RESULTS
All boys were found to have a similar well-defined, circumferential length of inflammation in the bulbar urethra. No specific aetiology was illucidated, but 2 cases had a urethral stricture at the time of presentation, and two further cases subsequently required urethral dilatation. Two boys had a borderline low IgG, of probably little significance.
CONCLUSION
Boys presenting with prolonged symptoms of dysuria and haematuria should be endoscoped, and detailed investigations looking for fastidious organisms and immune deficiency seem appropriate in those with significant urethral ulceration.
目的
研究出现持续性血尿和排尿困难的青春期男性，以进一步了解这些男孩的确切病理和内镜检查结果。
方法
在3年期间，对7例患者进行了视频内镜检查和测试，以排除感染性和免疫性疾病。
结果
所有男孩的球部尿道均有类似的界限清楚的环形炎症。未阐明具体病因，但2例在就诊时有尿道狭窄，另有2例随后需要进行尿道扩张。2名男孩的免疫球蛋白G略低，可能意义不大。
结论
出现排尿困难和血尿长期症状的男孩应接受内镜检查，对于有明显尿道溃疡的患者，进行详细检查以寻找苛求菌和免疫缺陷似乎是合适的。
Zotero 插件