Maletin A G, Neĭmark A I, Kazakov I V, Shmidt V G
Urol Nefrol (Mosk). 1992 Jan-Feb(1-3):43-5.
A total of 231 patients with urethral strictures were treated. The disease resulted from trauma, adenomectomy, chronic urethritis, prostatic sclerosis in 92, 72, 51 and 16 patients, respectively. Fifty-one patients underwent conservative treatment which involved bougienage, resolving and anti-inflammatory agents. 38 of them responded, 13 nonresponders were operated on. 72 patients were subjected to partial urethral tunneling according to an original technique which brought success in 90% of the cases. Out of 92 traumatic urethral strictures 88 were cured after end-to-end plastic reconstruction. It is believed that urethral strictures should be managed individually basing on the stricture cause, location, length, severity, complications.
共治疗了231例尿道狭窄患者。该疾病分别由创伤、腺瘤切除术、慢性尿道炎、前列腺硬化引起,其中92例、72例、51例和16例。51例患者接受了保守治疗,包括尿道扩张、溶解剂和抗炎药物。其中38例有反应,13例无反应者接受了手术。72例患者根据一种原始技术进行了部分尿道隧道成形术,90%的病例取得成功。92例创伤性尿道狭窄中,88例经端端整形重建后治愈。人们认为,尿道狭窄应根据狭窄的原因、位置、长度、严重程度、并发症进行个体化治疗。