临床小儿外科杂志2025，Vol.24Issue(4)：377-380,4.DOI:10.3760/cma.j.cn101785-202405039-014
儿童干燥性闭塞性龟头炎并发尿潴留的临床特点与疗效分析
Clinical characteristics of urinary retention in children with dry occlusive balanitis
郭祥 1马慧 1王军 1郭晖 1雷伟 1陈海涛1
作者信息
- 1. 华中科技大学同济医学院附属武汉儿童医院泌尿外科,武汉 430000
- 折叠
摘要
Abstract
Objective To explore the clinical characteristics of balanitis xerotica obliterans(BXO)complicated with urinary retention undergoing emergency circumcision in children.Methods From January 2019 to September 2023,retrospective analysis was conducted for the relevant clinical data of 23 children un-dergoing emergency circumcision for BXO complicated with urinary retention.Onset age,duration of indwelling catheter,previous medical history,perioperative penile lesions and postoperative urethral stricture were recor-ded.Results Mean onset age was 8.5(7-10)years.Twenty cases(87％)had a previous history of recur-rent redness,swelling or itching of foreskin within the last month,2 cases(9％)had a history of foreskin trau-ma and 1 case(4％)had poor penile exposure.All attempted catheterizations failed(100％).Preoperative swelling of foreskin opening was associated with scar narrowing and inability of exposing urethral opening.Dur-ing operation,white pseudomembrane attachment was observed on inner plate of foreskin and glans penis.Moss-like lesions infiltrated glans penis,frenulum and external urethral opening.Frenulum of foreskin contracted and external urethral opening narrowed.After 3-month follow-ups,21 cases(91％)developed concurrent urethral meatus stenosis,phimosis and penile sclerosis.Conclusions Short-term recurrent infection of foreskin is a ma-jor risk factor for BXO complicated with acute urinary retention.BXO occurs predominantly in children aged(7-10)year.Direct emergency surgery is recommended.BXO children complicated with urinary retention tend to enter advanced clinical stage and their lesions have infiltrated glans penis and urethral meatus.The postoper-ative incidence of urethral meatus stenosis has remained high.关键词
干燥性闭塞性龟头炎/病理状态/体征和症状/包皮环切术/男性/儿童Key words
Balanitis Xerotica Obliterans/Pathological Status/Signs and Symptoms/Circumcision/Male/Child引用本文复制引用
郭祥,马慧,王军,郭晖,雷伟,陈海涛..儿童干燥性闭塞性龟头炎并发尿潴留的临床特点与疗效分析[J].临床小儿外科杂志,2025,24(4):377-380,4.
