Gazymov M M, Volkov A N, Gazymova D M, Semenov N S
Urol Nefrol (Mosk). 1992 Jan-Feb(1-3):37-8.
The treatment was conducted for 154 patients aged 3-69 with traumatic rupture of the urethra. Eighteen patients underwent primary suturing, five patients primary delayed repair of the urethra. Urethral patency was achieved in all the cases. In 127 cases urethral rupture was associated with visceral and skeletal injuries managed by epicystostomy with good results. 16 patients without extended diastasis of the urethral fragments got circular tubes. 24 patients out of 111 developed restenosis (7 due to urethrotomy and 17 after tunneling). Later on 14 of these and the rest 87 patients were subjected to plastic reconstruction. Out of 101 patients operated on 3 needed bougienage, 1 patients retained urethrorectal fistula. 8 patients had postoperative dynamic urethral obstruction removed upon augmentation of detrusor tonicity by means of intravenous administration of calcium chloride and strofantina. Copulative dysfunction occurred in 70% of the patients over 22 years of age. Extracavernous prosthetic implantations performed in 33 of them corrected erectile impotence [correction of importance].
对154例年龄在3至69岁的创伤性尿道破裂患者进行了治疗。18例患者接受了一期缝合，5例患者接受了一期延迟尿道修复。所有病例均实现尿道通畅。127例尿道破裂合并内脏和骨骼损伤，通过膀胱造瘘术治疗，效果良好。16例尿道碎片无广泛分离的患者置入了环形管。111例患者中有24例出现再狭窄（7例因尿道切开术，17例在隧道形成后）。后来，其中14例以及其余87例患者接受了整形重建。101例接受手术的患者中，3例需要尿道扩张，1例保留尿道直肠瘘。8例患者术后出现动态尿道梗阻，通过静脉注射氯化钙和毒毛旋花子苷K增强逼尿肌张力后得以解除。22岁以上患者中70%出现性交功能障碍。其中33例患者进行了海绵体外假体植入，纠正了勃起功能障碍[重要性的纠正] 。
