輪状尿道脱について: 自験5例および本邦報告例よりみたその臨床像

概要

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Circular prolapse of the urethra was experienced in five women, 2 to 76 years of age, and cured by circular excision or Fritsch's ligation method. In Japan, 152 cases of circular prolapse of the urethra had been reported. Review of literature showed the following facts. Among them, the youngest was 1 year and 3 months old, and the oldest 82 years (Fig. 3). It was frequent, as same as in over-sea literature, in childhood and postmenopausal age. Of 111 cases below 15 years old, it was frequent around the age of 8 (Fig. 4). Out of the chief complaints, hemorrhage and mass were the most frequent. The mass was almost within the size of the thumb-tip. Digital replacement of the urethral mucosa was sometimes successful but the disease tended to reappear. Therefore, circular excision or Fritsch' method was recommended. Partial prolapse of the urethra has been often confused with urethral caruncle both in definition and differential diagnosis. Term of prolapse is better used only for circular prolapse.
泌尿器科紀要刊行会の論文