教員業績データベース |
|
論文種別 | 症例報告 |
言語種別 | 英語 |
査読の有無 | 査読あり |
表題 | Perineal urethrostomy with combined buccal mucosal graft and skin flap after complete loss of anterior urethra. |
掲載誌名 | 正式名:IJU case reports ISSNコード:2577171X |
掲載区分 | 国内 |
巻・号・頁 | 4(2),pp.92-4 |
著者・共著者 | Akagi Naoki, Kanematsu Akihiro, Yamamoto Shingo |
発行年月 | 2021/03 |
概要 | INTRODUCTION: We report a novel perineal urethrostomy procedure for complete loss of anterior urethral tissue. CASE PRESENTATION: A 74-year-old man had complete necrosis of the corpus spongiosum and corpora cavernosa after repeated transurethral surgical procedures. He had been managed with a suprapubic cystostomy tube for 10 years. A perineal urethrostomy was performed, and a posterior wall with an inverted U-shaped perineal skin flap and an anterior wall with a buccal mucosal graft were created. Five months later, an internal urethrotomy was required for mild anastomotic stenosis. Thereafter, an indwelling Foley catheter was used for urine drainage at night to prevent restenosis of the neourethra and avoid excessive nocturia due to low capacity of the long-time disused bladder, and the patient became catheter-free during the daytime. CONCLUSION: The method presented here is a reasonable option for patients lacking whole anterior urethral tissue. |
文献番号 | 2021313564 |
PMID | 33718814 |