Kishev S V
Urologe A. 1975 Nov;14(6):257-62.
Twenty patients with contracture of the vesical neck following prostatectomy and with Marion's disease were successfully treated with Y-V plastic operation and posterior wedge excision. One patient had to remain in cystotomy catheterization because it was not possible at operation to detach the wall of the bladder from the os pubis. Five of eight patients were treated successfully by transurethral resection. The remaining three patients developed a recurrent contracture and underwent Y-V plastic operation. A stenosis at the site of anastomosis following radical retropubic prostatectomy may sometimes be managed by a Y-V operation using a simple retropubic approach. This was the procedure in one case. However, when the stenosis lies too deep in relation to the os pubis, one can always gain access via a pubectomy. Chiefly, contracture of the vesical cervix postprostatectomy is discussed, as well as the degree of obstruction, the characteristic symptoms, and the risks associated with wrong diagnosis. A new theory on the etiology is briefly described.
20例前列腺切除术后膀胱颈挛缩合并马里恩病的患者通过Y-V整形手术和后楔形切除术成功治愈。1例患者因手术时无法将膀胱壁与耻骨分离，不得不留置膀胱造瘘导管。8例患者中有5例经尿道切除术成功治疗。其余3例患者出现复发性挛缩并接受了Y-V整形手术。根治性耻骨后前列腺切除术后吻合口处的狭窄有时可通过简单的耻骨后入路Y-V手术处理。有1例采用了此方法。然而，当狭窄相对于耻骨位置过深时，可通过耻骨切除术进入。本文主要讨论前列腺切除术后膀胱颈挛缩，以及梗阻程度、特征性症状和误诊相关风险。简要描述了一种新的病因学理论。
