Hayashi Tetsuo, Yoshinaga Atsushi, Ohno Rena, Ishii Nobuyuki, Watanabe Toru, Yamada Takumi, Kihara Kazunori
Department of Urology, Saitama Medical Center, Saitama Medical School, Kawagoe, Saitama, Japan.
Int J Urol. 2005 Apr;12(4):414-6. doi: 10.1111/j.1442-2042.2005.01053.x.
We report three cases with severe anastomotic strictures, which recurred several times after radical prostatectomy despite repeated treatments of urethral dilation, internal urethrotomy and/or transurethral resection. All three cases were finally treated with holmium laser successfully without any intraoperative or postoperative complications after repeated failures of each treatment. There were two specific characteristics in these three cases: the early onset of the stricture and the pinhole opening located on the top (12-o'clock) of the stricture wall.
我们报告了三例严重吻合口狭窄病例,这些病例在根治性前列腺切除术后尽管反复进行尿道扩张、尿道内切开术和/或经尿道切除术治疗,但仍多次复发。在每种治疗反复失败后,所有三例最终均成功接受了钬激光治疗,且无任何术中或术后并发症。这三例病例有两个特殊特征:狭窄出现早,且狭窄壁顶部(12点位置)有针孔样开口。