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A Very Unlikely Finding in a Male Child: Urethral Prolapse

机译:一个男孩中不太可能的发现:尿道脱垂

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摘要

Urethral prolapse is a disease of prepubertal black girls and postmenopausal women with an unknown cause. It may be congenital in origin or an acquired condition. It has never been reported in males. We report a 10-year-old Caucasian boy who presented because of recurrent right undescended testis. He had been operated on for bilateral undescended testes 7 years ago in another hospital, and circumcision was done during the same operation. The boy complained of a weak urinary stream during voiding. The physical examination was consistent with recurrent right undescended testis. Penile examination showed a circumferential urethral prolapse around the meatus. The urethral meatal appearance was apparent right after the circumcision. An orchiopexy operation as well as circumferential excision of the perimeatal urethral tissue with primary repair was done. The pathological examination of the specimen revealed keratinized stratified squamous epithelium consistent with urethral mucosa. The postoperative course was uneventful, and the patient urinates normally at the 8 postoperative month with a normal uroflowmetry study. This is the first report of urethral prolapse in a male. Because circumcision is a widely employed practice in many cultures, it is unlikely to be a predisposing factor. It is a benign condition that can be cured with simple resection and anastomosis.
机译:尿道脱垂是一种青春期前黑人女孩和绝经后妇女的疾病,病因不明。它可能是先天性的,也可能是后天性的。从未在男性中报道过。我们报告了一个10岁的白人男孩,他因右睾丸复发而下降。 7年前,他曾在另一家医院接受过双侧睾丸手术,但在同一手术中进行了包皮环切术。这个男孩抱怨排尿时尿流不畅。体格检查与右睾丸未复发者一致。阴茎检查显示在耳道周围有尿道周围脱垂。包皮环切术后,尿道口明显出现。进行了睾丸手术和周缘切除尿道周围的尿道组织,并进行了初步修复。标本的病理检查显示角化分层的鳞状上皮与尿道粘膜一致。术后过程平稳,患者在术后8个月以正常尿流法检查正常排尿。这是男性尿道脱垂的首次报道。由于包皮环切术是许多文化中广泛采用的做法,因此它不太可能成为诱发因素。它是一种良性疾病,可以通过简单的切除和吻合术治愈。

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