Yasuda K, Yamanishi T, Isaka S, Okano T, Masai M, Shimazaki J
Department of Urology, School of Medicine, Chiba University, Japan.
J Urol. 1991 May;145(5):977-9. doi: 10.1016/s0022-5347(17)38505-1.
A total of 17 patients with traumatic membranous urethral disruption underwent urethral reconstruction via a core-through technique. Followup was 1 to 8 years (mean 3.7 years) postoperatively, and included 6 weeks with an indwelling catheter, periodic dilation for 6 months and occasional sounding. Within 1 year postoperatively, 6 patients required additional scar incision, including 3 who underwent scar resection. At 1 to 8 years postoperatively 6 patients had complications: 3 had stricture requiring periodic dilation (including 2 who underwent scar incision), while 2 had mild stress incontinence and 1 had nocturnal enuresis. Traumatic impotence was noted in 7 patients but the operation was not the cause in any. This method of endoscopic management was found to be an acceptable alternative to urethroplasty in cases of membranous urethral disruption.
共有17例创伤性膜性尿道断裂患者通过贯穿技术进行尿道重建。术后随访1至8年（平均3.7年），包括留置导尿管6周、定期扩张6个月以及偶尔进行尿道探子检查。术后1年内，6例患者需要额外的瘢痕切开，其中3例进行了瘢痕切除。术后1至8年，6例患者出现并发症：3例出现狭窄需要定期扩张（包括2例进行了瘢痕切开），2例有轻度压力性尿失禁，1例有夜间遗尿。7例患者出现创伤性阳痿，但均非手术所致。对于膜性尿道断裂病例，这种内镜处理方法被认为是尿道成形术的一种可接受的替代方法。
