Department of Urology, UT Southwestern Medical Center, Dallas, Texas 75390, USA.
Urology. 2011 Jun;77(6):1487-9. doi: 10.1016/j.urology.2010.10.053. Epub 2011 Jan 22.
Perineal urethrostomy is a well-accepted reconstructive option for complex anterior urethral stricture disease. We present a novel technique for the construction of a perineal urethrostomy that allows the surgeon greater control when managing all levels of anterior urethral stricture disease.
A perineal urethrostomy is constructed by advancing a 7-shaped laterally based perineal skin flap to the amputated bulbar or membranous urethra.
Ten men between the ages of 48 and 79 underwent the 7-flap perineal urethrostomy for advanced urethral stricture disease; one had 7-flap revision of an existing perineal urethrostomy. Each patient was treated in an outpatient setting without perioperative complications. Nine of ten patients (90%) are voiding spontaneously without the need for urethrostomy revision or proximal urinary diversion.
The 7-flap perineal urethrostomy is versatile, safe, and effective. It allows the surgeon maximal flexibility in the management of complex anterior urethral stricture disease.
会阴尿道造口术是一种被广泛接受的复杂前尿道狭窄疾病的重建选择。我们提出了一种新的会阴尿道造口术技术，允许外科医生在处理所有级别的前尿道狭窄疾病时具有更大的控制能力。
通过将 7 形横向会阴皮瓣推进到切断的球部或膜部尿道来构建会阴尿道造口术。
10 名年龄在 48 岁至 79 岁之间的男性因高级尿道狭窄疾病接受了 7 瓣会阴尿道造口术；1 名男性对现有的会阴尿道造口术进行了 7 瓣修复。每位患者均在门诊环境下接受治疗，无围手术期并发症。10 名患者中有 9 名（90%）能够自发排尿，无需进行尿道造口术修正或近端尿路改道。
7 瓣会阴尿道造口术具有多功能性、安全性和有效性。它允许外科医生在处理复杂的前尿道狭窄疾病时具有最大的灵活性。
