以經尿道鏡綠光鐳射清除尿道下裂手術後生成毛髮之毛囊
徐慧興*，莊恆彰，張世琦，王旭翔， 邵翊紘
羅東博愛醫院 外科部 泌尿科, 國立陽明大學 泌尿學科*
Urethroscopic greenlight laser epilation of urethral hair follicles after hypospadias repair
Hueih-Shing Hsu, Heng-Chang Chuang, Shyh-Chyi Chang,
Hsu-Hsiang Wang, I-Hung Shao
Division of Urology, Department of Surgery, Lotung Pohai Hospital,
Yilan, Taiwan, Urology, National Yang Ming University*
Purpose: Hair-bearing urethra occur at the rate approximate 5% following hypospadias repair.
The Greenlight laser is well known to Urologist, but no one use this modality in the treatment of urethral hair. We present an interesting case that has urethral hairs 15 years after hypospadias repair. Greenlight laser epilation of urethral hair was used and the outcome of the novel treatment was reported.
Case report: This is a 20 year-old boy who suffered from congenital abnormalities including imperforate anus, undescended testicles, severe hypospadias and chromosome abnormality. When he was 3years old, hypospadias repair was done by two stage methods. After he grows up, he suffered dysuria and urinary tract infection. He was diagnosed urethral stricture with urethral hairs when he was 18 year-old. Urethral dilatation and hair removal by grasper were done twice within one year. However the hair follicles can’t be destroyed completely. We try to use laser epilation of hair follicles. Laser is easier to cauterize the hair follicle and very tiny hair. The advantage of laser epilation is easy to use the energy coming from the side firing. The initial result is encouraged but long-term follow up is still necessary.