Polo M, Cabras M, Licheri S, Polo F
Divisione di Chirurgia Generale, USL N. 12 Ospedale G.P. Delogu, Chilarza Oristano.
Minerva Urol Nefrol. 1990 Oct-Dec;42(4):235-8.
The association of urethral stenosis and stones is not frequent. The urethral stenosis, particularly common in males, recognizes, as predisposing causes, urethritis, IPB, perineal trauma, neurogenic bladder and, last, but not the least important, endoscopic treatments or repeated catheterism. The authors report a case of a 42 year old man who underwent, for urolithiasis, several endoscopic examinations, which became urethral-stenosis with stones within four years. With responsible and critical behaviour, etiology, the diagnostic procedures and the therapy (invasive or not) of the urethral-stenosis are examined and evaluated. Diagnosis must be based on a non painful approach (clinical, bacteriological, ultrasonography, uro-dynamic studies); the invasive procedures must be limited as much is possible. Whatever treatment is used, which may always give sequences or complications, a prolonged follow-up is mandatory to have an objective evaluation of the results.
尿道狭窄与结石的关联并不常见。尿道狭窄在男性中尤为常见，其诱发原因包括尿道炎、经尿道前列腺电切术（TURP）、会阴部创伤、神经源性膀胱，以及最后但并非最不重要的内镜治疗或反复导尿。作者报告了一例42岁男性病例，该患者因尿路结石接受了多次内镜检查，四年内出现了伴有结石的尿道狭窄。本文以严谨且批判性的态度，对尿道狭窄的病因、诊断程序及治疗方法（无论是否为侵入性）进行了检查和评估。诊断必须基于无痛检查方法（临床、细菌学、超声检查、尿动力学研究）；侵入性检查必须尽可能减少。无论采用何种治疗方法，治疗过程中可能总会出现一系列情况或并发症，因此必须进行长期随访，以便对治疗结果进行客观评估。
