PDF(Pubmed)
Abstract：
UNASSIGNED: A urethral diverticulum can be defined as a pocket that forms from the lining of the urethra and protrudes into the surrounding tissue, a condition which causes voiding dysfunction and may result as a rare complication of hypospadias repair surgery.
UNASSIGNED: We report the case of a 2-year-old child who presented to us in 2019 complaining of a thin forceful stream, ballooning of the ventral aspect of the penis while voiding, and post-void dribbling. He has a history of undergoing a tubularised incised plate urethroplasty for distal penile hypospadias at 18-months-old. Ultrasound showed increased post-void residual volume and cystourethroscopy confirmed a urethral diverticulum extending from the subcorona to the base of the penis. The patient underwent partial excision of diverticulum, urethroplasty, and meatoplasty. He was followed-up 3 months later with complete resolution of his symptoms and a normal urinary stream with no urethral ballooning or dribbling.
UNASSIGNED: Urethral diverticulum may present as a complication post hypospadias repair. Although it is rare, we believe that it is important for the patient\'s parents to understand the possibility and know of the signs and symptoms in addition to attending regular outpatient clinic appointments in order to facilitate early management if needed. Furthermore, it is highly important for physicians to assess newborns for hypospadias before carrying out circumcision as it is a contraindication for the procedure.
UNASSIGNED: We report the case of a 2-year-old child who presented to us in 2019 complaining of a thin forceful stream, ballooning of the ventral aspect of the penis while voiding, and post-void dribbling. He has a history of undergoing a tubularised incised plate urethroplasty for distal penile hypospadias at 18-months-old. Ultrasound showed increased post-void residual volume and cystourethroscopy confirmed a urethral diverticulum extending from the subcorona to the base of the penis. The patient underwent partial excision of diverticulum, urethroplasty, and meatoplasty. He was followed-up 3 months later with complete resolution of his symptoms and a normal urinary stream with no urethral ballooning or dribbling.
UNASSIGNED: Urethral diverticulum may present as a complication post hypospadias repair. Although it is rare, we believe that it is important for the patient\'s parents to understand the possibility and know of the signs and symptoms in addition to attending regular outpatient clinic appointments in order to facilitate early management if needed. Furthermore, it is highly important for physicians to assess newborns for hypospadias before carrying out circumcision as it is a contraindication for the procedure.
摘要：
■尿道憩室可以定义为从尿道衬里形成并伸入周围组织的口袋，一种引起排尿功能障碍的病症，可能是尿道下裂修复手术的罕见并发症。
■我们报告了一个2岁的孩子的案例，他在2019年向我们介绍了一个微弱的强流，排尿时阴茎腹侧膨胀，和后空虚运球。他有18个月大的阴茎远端尿道下裂的管状切开的尿道成形术的历史。超声显示空隙后残余体积增加，膀胱尿道镜检查证实尿道憩室从冠下延伸到阴茎基部。患者接受了憩室部分切除术，尿道成形术,还有移植手术.3个月后对他进行了随访，症状完全缓解，尿流正常，没有尿道膨胀或运球。
■尿道憩室可能是尿道下裂修复后的并发症。虽然很罕见,我们认为，重要的是，患者的父母了解的可能性和体征和症状，除了参加定期门诊预约，以促进早期管理，如果需要。此外，对于医生来说，在进行包皮环切术之前评估新生儿的尿道下裂是非常重要的，因为这是手术的禁忌症。
■我们报告了一个2岁的孩子的案例，他在2019年向我们介绍了一个微弱的强流，排尿时阴茎腹侧膨胀，和后空虚运球。他有18个月大的阴茎远端尿道下裂的管状切开的尿道成形术的历史。超声显示空隙后残余体积增加，膀胱尿道镜检查证实尿道憩室从冠下延伸到阴茎基部。患者接受了憩室部分切除术，尿道成形术,还有移植手术.3个月后对他进行了随访，症状完全缓解，尿流正常，没有尿道膨胀或运球。
■尿道憩室可能是尿道下裂修复后的并发症。虽然很罕见,我们认为，重要的是，患者的父母了解的可能性和体征和症状，除了参加定期门诊预约，以促进早期管理，如果需要。此外，对于医生来说，在进行包皮环切术之前评估新生儿的尿道下裂是非常重要的，因为这是手术的禁忌症。
