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.
Any questions be sent to drmmkapur@gmail.com
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