Levent DUMAN, Mehmet Emin ŞENOCAK, Arbay Özden ÇİFTÇİ

Hipospadiyas ve interseks olgularında prostatik utrikül konfigürasyonu

Amaç: Hipospadiyas ve interseks olgularında prostatik utrikül (PU) sıklığı, klinik karakteristikleri, tedavi metodları ve izlem sonuçlarını değerlendirdik. Gereç ve Yöntem: Hipospadiyas (n:72) ve interseks (n:108) tanılarıyla tedavi edilen, radyolojik ve endoskopik incelemelerle PU varlığı araştırılan hastalar retrospektif olarak incelendi. Bulgular: PU sıklığı hipospadiyas olgularında %12.5, interseks olgularında ise %22.2 bulundu. Her iki grupta en sık görülen klinik semptomlar üriner enfeksiyon, üriner obstrüksiyon, enürezis ve ürolitiyazisdir. Sonuç: İnterseks ve ağır hipospadiyas olgularında PU varlığı radyolojik ve endoskopik yöntemlerle araştırılmalıdır. Cerrahi tedavide ana amaç üretra, mesane boynu, sfi nkterler ve pelvik sinir ağına zarar vermeden, büyümüş PU yapılarının tümüyle çıkartılmasıdır.

Prostatic utricle configuration in hypospadias and intersex patients

Aim: A retrospective clinical trial was performed to evaluate prostatic utricle (PU) incidence, clinical characteristics, treatment and follow-up outcomes in hypospadias and intersex patients. Material and Methods: Hypospadias (n:72) and intersex (n:108) patients in whom the confi guration of PU were evaluated by radiological and endoscopic investigations. Results: The incidence of PU was 12.5% and 22.2% in hypospadias and intersex patients. Urinary infection, obstruction, enuresis and urolithiasis were the most common clinical symptoms in both groups. Conclusion: PU should be evaluated by radiological and endoscopic investigations in intersex and hypospadias patients. The main goal of surgical therapy is total excision of extended PU structures without damaging to urethra, bladder outlet, sphincter and pelvic plexuses.

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