Tu Lei,Zhao Yaowang,Peng Qianlong,et al.Application of cystourethroscopy in the diagnosis and treatment of hypospadias with prostatic utricle.[J].Journal of Clinical Pediatric Surgery,,17():510-513.
Application of cystourethroscopy in the diagnosis and treatment of hypospadias with prostatic utricle.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 07
Page:
510-513
Column:
专题讨论
Date of publication:
2018-07-28
- Keywords:
- Prostatic Utricle; Hypospadias; Cystourethroscopy
- Document code:
- A
- Abstract:
- ObjectiveTo explore the necessity and application of cystourethroscopy in the diagnosis and treatment of hypospadias with prostatic utricle.MethodsA total of 47 patients of severe hypospadias with prostatic utricle were recruited.The average age was 2.8(1.2~15) years.The locations of urethral orifice were at the junction of penis & scrotum (n=18),scrotum (n=15) and perineum (n=14).Prior to urethroplasty,cystourethroscopic examination was performed.Three of them underwent cystoscopicassisted laparoscopic excision of prostatic utricle.Clinical data and results of ultrasound,imaging examinations and cystourethroscopic examination were recorded.ResultsUnder cystourethroscope,the sizes of prostatic utricle varied greatly.The length was 0.3~3.6 cm and the length of perineum was the longest.Among them,31 cases of prostatic utricle were detected by ultrasound (59.5%).Three patients (6.4%) had prostatic utricle on voiding cystourethrography (VCUG).Among 4 patients (8.5%) with epididymitis,3 underwent cystoscopicassisted laparoscopic excision of prostatic utricle and the symptoms disappeared during postoperative followups.One case refused surgery and developed recurrent infection.ConclusionCystourethroscopy may detect prostatic utricle in patients with hypospadias and it can measure the size and location of prostatic utricle while other examinations tend to miss its diagnosis.During cystoscopicassisted laparoscopic excision of prostatic utricle,cystourethroscopic assistance may facilitate countertraction movements and accurate dissections.
Last Update:
2018-07-24