Robertson G S, Everitt N, Lamprecht J R, Brett M, Flynn J T
Area Urological Service, Leicester General Hospital.
Br J Urol. 1991 Jul;68(1):89-92. doi: 10.1111/j.1464-410x.1991.tb15262.x.
The treatment of urethral strictures has been greatly improved by the use of the optical urethrotome. However, there remains a group of patients with recurrent strictures for whom the alternatives remain long-term dilatation/urethrotomy or urethroplasty. Over the last 3 years we have treated 65 such patients using clean intermittent self-catheterisation as a method of self-dilatation. This has resulted in a dramatic decrease in the number of operations performed on these patients, with no significant reduction in urinary flow rate over an average follow-up period of 20 months. The method offers the possibility of long-term cure and should be offered to all all such patients, reducing still further the number of patients who require urethroplasty.
光学尿道切开刀的应用极大地改善了尿道狭窄的治疗。然而，仍有一组复发性狭窄患者，他们的选择仍然是长期扩张/尿道切开术或尿道成形术。在过去3年里，我们对65例此类患者采用清洁间歇性自我导尿作为自我扩张的方法进行治疗。这使得对这些患者进行的手术数量大幅减少，在平均20个月的随访期内尿流率没有显著降低。该方法提供了长期治愈的可能性，应该提供给所有此类患者，从而进一步减少需要进行尿道成形术的患者数量。
