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요도하열 수술 후 발생한 요도협착과 요도 내 체모에 의한 반복적 요로감염 발생 증례

Recurrent Urinary Tract Infection from Urethral Stricture and Urethral Hair Growing after Hypospadias Repair Surgery

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주제분류비뇨기과학

초록

Despite successful hypospadias repair surgery, complications may occur. We report on a case of recurrent urinary tract infection from urethral stricture and urethral hair growth after hypospadias repair surgery. A 33-year-old man who first underwent hypospadias repair surgery at the age of seven underwent two more visual internal urethrotomy operations afterward. He was referred to our hospital because of voiding difficulty, dysuria, and residual urine sense. His urethral meatus was located at 1 cm proximal ventral sulcus from the glans. We found the urethral stricture and one hair in the urethra at the 2 cm proximal portion from the urethral meatus by retrograde urethrography and urethroscopy. Bacteriuria was found on urine culture, thus, we resolved the problems with soundation, epilation, and antibiotic therapy. However, the patient kept experiencing these problems recurrently; therefore, we managed his problems by recurrent urethral soundation, hair epilation, and antibiotic treatment with three years of regular follow-up.

Abstract

Despite successful hypospadias repair surgery, complications may occur. We report on a case of recurrent urinary tract infection from urethral stricture and urethral hair growth after hypospadias repair surgery. A 33-year-old man who first underwent hypospadias repair surgery at the age of seven underwent two more visual internal urethrotomy operations afterward. He was referred to our hospital because of voiding difficulty, dysuria, and residual urine sense. His urethral meatus was located at 1 cm proximal ventral sulcus from the glans. We found the urethral stricture and one hair in the urethra at the 2 cm proximal portion from the urethral meatus by retrograde urethrography and urethroscopy. Bacteriuria was found on urine culture, thus, we resolved the problems with soundation, epilation, and antibiotic therapy. However, the patient kept experiencing these problems recurrently; therefore, we managed his problems by recurrent urethral soundation, hair epilation, and antibiotic treatment with three years of regular follow-up.

참고문헌 (10)

  1. Klip H, "Hypospadias in sons of women exposed to diethylstilbestrol in utero : a cohort study", Lancet, 359, pp.1102~1107 (2002)
  2. 김명기, "요도하열 수술: 최근 달라진 개념과 술기의 발전", Investigative and Clinical Urology, 49(12), pp.1059~1066 (2008), 대한비뇨기과학회
  3. Cook A, "A multicenter evaluation of technical preferences for primary hypospadias repair", J Urol, 174, pp.2354~2357 (2005)
  4. Nuininga JE, "Long-term outcome of different types of 1-stage hypospadias repair", J Urol, 174, pp.1544~1548 (2005)
  5. Park KJ, "Assessment of long-term hypospadias repair results", Korean J Pediatr Urol, 2, pp.81~86 (2010)
  6. Jones EA, "Complications of urologic surgery", pp.592~601 (2001), Saunders
  7. Devine CJ Jr, "Evaluation and treatment of patients with failed hypospadias repair", J Urol, 119, pp.223~226 (1978)
  8. Cohen S, "CO2 laser desiccation of urethral hair post-penoscrotal hypospadias repair", J Cosmet Laser Ther, 9, pp.241~243 (2007)
  9. Beiko D, "Urethroscopic holmium : YAG laser epilation of urethral diverticular hair follicles following hypospadias repair", J Pediatr Urol, 7, pp.231~232 (2011)
  10. Crain DS, "Transcutaneous laser hair ablation for management of intraurethral hair after hypospadias repair : initial experience", J Urol, 170, pp.1948~1949 (2003)

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