Reid R E
Urology. 1975 Dec;6(6):711-5. doi: 10.1016/0090-4295(75)90802-x.
Sixty patients with urethral strictures at the bulbous and membranous levels were treated with Turner-Warwick urethroplasty. Initially, there were significant difficulties with restenosis of either the proximal or distal st-ma following the first-stage urethroplasty. Use of nitrofurazone-hydrocortisone (Furacin-Hc) urethral suppositories practically eliminated recurrent stomal stenosis after the first stage. Several additional modifications were made in the original technique; these included placement of urethral sutures prior to scrotal mobilization and abandonment of the suprapublic cystotomy for frainage at the second stage of the procedure. These modifications increased the chances of achieving a successful result while facilitating the actual surgery and improving the patients' comfort. The over-all success rate was approximately 90 per cent. Patients with urethral stricture surgery subsequent to prostatectomy had problems with urinary control, but not so if prostatectomy was done after the first stage of urethroplasty. It appears that the Turner-Warwick urethroplasty is good one, and predictably good results can be expected on selected patients with urethral strictures.
60例球部和膜部尿道狭窄患者接受了特纳 - 沃里克尿道成形术治疗。最初，一期尿道成形术后近端或远端吻合口再狭窄存在显著困难。使用呋喃西林 - 氢化可的松（呋哺西林 - 氢化可的松）尿道栓剂实际上消除了一期术后复发性吻合口狭窄。对原始技术进行了一些额外的改进；这些改进包括在阴囊游离之前放置尿道缝线，并在手术的第二阶段放弃耻骨上膀胱造瘘引流。这些改进增加了获得成功结果的机会，同时便于实际手术操作并提高了患者的舒适度。总体成功率约为90%。前列腺切除术后接受尿道狭窄手术的患者存在控尿问题，但如果在尿道成形术第一阶段之后进行前列腺切除术则不会出现此问题。看来特纳 - 沃里克尿道成形术是一种不错的手术方法，对于选定的尿道狭窄患者可以预期获得良好的效果。
