Beckert R, Gilbert P, Kreutzig T
Department of Urology, Military Hospital of Ulm, Federal Republic of Germany.
J Urol. 1991 Oct;146(4):993-6. doi: 10.1016/s0022-5347(17)37984-3.
To obtain better information on fibrotic tissue damage in urethral strictures we performed spongiosography, that is opacification of the spongy body by injection of contrast medium, in 32 patients in whom the diagnosis had already been established by uroflowmetry, urethrography and urethroscopy. Another 18 patients with erectile dysfunction served as the control group. The investigation was well tolerated by all patients and no side effects or complications were encountered. Attenuation or even interruption of the contrast medium within the corpus spongiosum on spongiosography clearly revealed the fibrosis in urethral strictures. The extent of scarring was completely independent of the clinical symptoms and urethrographic findings. Accordingly, our decision on the appropriate surgical treatment was based mainly on the results of spongiosography. If used as an additional routine investigation in cases of urethral stricture spongiosography may help to decrease the recurrence rate in the future.
为了更好地了解尿道狭窄中纤维化组织损伤的情况，我们对32例已通过尿流率测定、尿道造影和尿道镜检查确诊的患者进行了海绵体造影，即通过注射造影剂使海绵体显影。另外18例勃起功能障碍患者作为对照组。所有患者对该检查耐受性良好，未出现副作用或并发症。海绵体造影时海绵体内造影剂的衰减甚至中断清楚地显示了尿道狭窄中的纤维化。瘢痕形成的程度与临床症状和尿道造影结果完全无关。因此，我们对适当手术治疗的决策主要基于海绵体造影的结果。如果将海绵体造影用作尿道狭窄病例的一项额外常规检查，未来可能有助于降低复发率。
