Anterior urethral valves and diverticula in children: a result of ruptured Cowper's duct cyst?

被引：33

作者：

McLellan, DL ^{[1
]}

Gaston, MV

Diamond, DA

Lebowitz, RL

Mandell, J

Atala, A

Bauer, SB

机构：

[1] Harvard Univ, Childrens Hosp, Sch Med, Dept Urol, Boston, MA 02115 USA

[2] Harvard Univ, Childrens Hosp, Sch Med, Dept Radiol, Boston, MA 02115 USA

来源：

BJU INTERNATIONAL | 2004年 / 94卷 / 03期

关键词：

anterior urethral valve; syringocele; Cowper's duct;

D O I：

10.1111/j.1464-410X.2004.04854.x

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

OBJECTIVE To review a series of children with anterior urethral valves and diverticula, to elucidate the pathophysiology and optimal management of this entity. PATIENTS AND METHODS Nine cases (all boys; 1963 to 2003) were reviewed retrospectively. RESULTS Seven of nine boys had bulbar diverticula. Continuity between Cowper's duct and the diverticulum was noted endoscopically in two and confirmed radiographically in one. Initially, open surgery was curative but more recently endoscopic management has been the procedure of choice. CONCLUSION This series indicates that the distal lip of a ruptured syringocele may function as a flap-valve, leading to anterior urethral obstruction. Advances in imaging and endoscopic instruments have altered the mode of presentation and management of this entity.

引用

页码：375 / 378

页数：4