Sunday, December 18, 2016

Testis Urethra male urethra

11. MALE URETHRA

11.1 Congenital Abnormalities
      The most common lesion in the distal urethra is meatal stenosis. The stream is poor and may predispose to infection ane enuresis (bed wetting) leading later to hydro-uretro-nephrosis and renal insufficiency due to back pressure.
Simple meatotomy provides relief.



11.1.1 CONGENITAL VALVES of the posterior urethra also obstruct the outflow of urine leading to chronic retention and hydroureter, infection and renal insufficiency. The most reliable method of confirming the diagnosis is voiding cysto-urethrography.
MARION’S DISEASE is obstruction to the neck of bladder with a thickning of the bladder neck and no enlargement of the prostate in a young man. Symptoms are identical with those of congenital valve.
      Cystoscopically; there is a hypertrophied inter-ureteric bar.

      Significant symptoms are present when function of legs is involved, patients have high pressure in the bladder with high residual urine incontinence (overflow) and urinary infection.

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