Female Urethral Stricture-Two Cases Report and Literature Review

女性尿道狹窄：案例報告

許兆畬(Jow-Yu Sheu) ； 王世農(Sing-Nong Wang) ； 童敏哲(Min-Che Tung) ； 王姵樺(Pei-Haw Wang) ； 殷約翰(Jue-Hawn Yin)

《童綜合醫學雜誌》 4卷1期 (2010/06) Pp. 27-35

https://doi.org/10.29838/TMJ.201006.0005

摘要

女性尿道狹窄較少見，臨床上較易以刺激性儲尿症狀為主並夾雜阻塞性排尿症狀，因此臨床上較需用心診斷才能釐清出此病症。文獻報告揭示以影像及尿路動力學的配合（錄影尿路動力學）或膀胱內視鏡來做出診斷。治療上如果一段時間的尿道擴張術不能獲得良好的療效，仍需尿道整型手術(urethroplasty)來幫助病患解決尿道狹窄的問題。我們報告兩例女性尿道狹窄案例，均是利用錄影尿路動力學配合膀胱尿道鏡做出確切診斷，同時使用三個月以上的尿道擴張術使得病患獲致不錯的主觀療效。

關鍵字

女性尿道狹窄 ； 女性膀胱出口阻塞 ； 下尿路症狀 ； 尿流速檢查 ； 錄影尿路動力學

並列摘要

Female urethral stricture is a rare entity. Irritative storage symptoms mixed with minor obstructive voiding symptoms are major presentation of diseased women. Differential diagnosis when encountering these patients should always keep high index of suspicion. The incidence of proved female urethral stricture was estimated to be ＜1.0% of the female patients referred for voiding problem. Thus far, no exact prevalence of population has previously been reported. Image contained videourodynamic study and cystourethroscopy are the method of choice for a definitive diagnosis. Long term urethral sounding can achieve clinical improvement of symptoms, but reconstructive urethroplasty is required if recurrence of urethral stricture occurs. We report herein on our two case reports and review the literatures.

並列關鍵字

Female urethral stricture ； female bladder outlet obstruction ； lower urinary tract symptoms ； uroflowmetry ； videourodynamic study