Kernohan R M, Anwar K K, Johnston S R
Department of Urology, City Hospital, Belfast.
Br J Urol. 1990 Jan;65(1):51-4. doi: 10.1111/j.1464-410x.1990.tb14661.x.
Seven patients with complete rupture of the membranous urethra secondary to trauma were treated by internal optical urethrotomy (OU). All underwent initial suprapubic catheter drainage. The diagnosis of complete urethral rupture was confirmed by ascending and descending urethrograms and subsequent urethroscopy. OU was performed 3 weeks to 8 years following injury. Although all patients required further OUs for recurrent strictures, all can pass urine satisfactorily. Two patients have slight stress incontinence. This technique is a viable alternative to more conventional procedures for this condition.
7例因外伤导致膜部尿道完全断裂的患者接受了内镜下尿道内切开术（OU）治疗。所有患者均首先进行了耻骨上膀胱造瘘引流。通过顺行和逆行尿道造影及随后的尿道镜检查确诊为尿道完全断裂。OU在受伤后3周-8年进行。尽管所有患者因复发性尿道狭窄均需要再次进行OU，但所有患者排尿均满意。2例患者有轻度压力性尿失禁。对于这种情况，该技术是比更传统手术更可行的替代方法。
