尿道形成を要した尿道異物

FOREIGN BODY IN THE URETHRA REQUIRED URETHROPLASTY:A CASE REPORT

　65歳，男性．尿道内異物と陰嚢内膿瘍の診断にて入院．異物はビニール被覆コードであった．切開排膿後異物を摘出したが，広範囲に球部尿道の欠損を伴い，尿道皮膚瘻を生じた．我々は，肉様膜を茎とした陰嚢皮膚弁で尿道管を形成し，これを尿道断端に縫合することにより，一期的尿道形成術を施行した．術後経過は良好である．

A 65 year old male patient was hospitalized for a foreign body in the urethra and an abscess at the scrotum. A vinyl coated electric cord lay in the urethra. A large defect in the bulbous portion of the urethra was observed after removal of the cord and debridement of the abscess. We used one-stage scrotal flap procedure for repair of the defect. The scrotal flap was incised and was mobilized to develop an island flap based on a pedicle of dartos fascia. Then the flap was formed into a tube and was anastomosed to the urethra. The result was satisfactory.