Zinman Leonard
Lahey Clinic Medical Center, 41 Mall Road, Burlington, MA 01805, USA.
Urol Clin North Am. 2002 May;29(2):443-66, viii. doi: 10.1016/s0094-0143(02)00032-0.
The ability to achieve a long-term, stable, stricture-free, hairless urethral lumen in patients with complex anterior stricture and compromised genital skin is one of the ongoing challenges of reconstructive urologic surgery. The conservative approach by endoscopic urethrotomy or dilatation with a self-catheterization schedule rarely affects a definitive cure except in the short filmy superficial strictures of the bulbous portion of the urethra. Genital fasciocutaneous island flaps are currently the golden standard for definitive, reliable resolution of anterior urethral strictures in patients who have not undergone a prior surgical procedure that may alter the penile or scrotal circulation, or those with skin loss from trauma, decubiti, radiation, or balanitis xerotica obliterans.
对于患有复杂前尿道狭窄且生殖器皮肤受损的患者，实现长期、稳定、无狭窄、无毛发生长的尿道腔是重建泌尿外科手术中持续面临的挑战之一。除了尿道球部短的薄膜状浅表狭窄外，采用内镜下尿道切开术或自我导尿计划进行扩张的保守方法很少能实现根治。对于未接受过可能改变阴茎或阴囊血液循环的先前手术的患者，或因创伤、压疮、放疗或闭塞性干燥性龟头炎导致皮肤缺失的患者，生殖器筋膜皮岛状皮瓣目前是明确、可靠解决前尿道狭窄的金标准。
