Benizri E, Chevallier D, Quintens H, Fabiani P, Degraeve B, Amiel J, Raymond G, Toubol J
Service d'Urologie du Professeur J. Toubol, Hôpital Pasteur, Nice.
Prog Urol. 1992 Aug-Sep;2(4):623-7.
The authors report a series of 132 patients with urethral stricture all treated by the same surgical technique between 1979 and 1984: direct vision internal urethrotomy. 62% of good results were obtained after a single operation with a follow-up ranging between 18 months and 5 years. There was no mortality and the morbidity was considered to be 5%. The authors indicate that the results were more favourable when the operation was performed in a solitary, short (less than 2 cm) non-infected stricture of the proximal urethra. The duration of postoperative catheterization was 10 days; catheterization for a longer period did not provide any significant advantage. The poor results (38%) were reported in cases of extensive strictures situated in the distal urethra or in patients with a history of urethral surgery. These cases were treated by repeated internal urethrotomy; 32% were cured after a second urethrotomy, while the others required maintenance sessions of urethral dilatation or even a urethroplasty procedure.
作者报告了1979年至1984年间采用相同手术技术（直视下内尿道切开术）治疗的132例尿道狭窄患者。单次手术后获得良好效果的比例为62%，随访时间为18个月至5年。无死亡病例，发病率为5%。作者指出，当手术用于近端尿道孤立、短（小于2厘米）且未感染的狭窄时，结果更为理想。术后导尿时间为10天；更长时间的导尿未显示出任何显著优势。远端尿道广泛狭窄或有尿道手术史的患者效果较差（38%）。这些病例通过重复内尿道切开术治疗；第二次尿道切开术后32%治愈，其余患者需要定期进行尿道扩张或甚至接受尿道成形术。
