Quentel P, Beurton D, Baron J C, Cukier J
Service d'Urologie, Hôpital Necker, Paris.
Ann Urol (Paris). 1990;24(2):153-5.
Thirty-six urethral strictures were treated between 1977 and 1984. Three strictures were considered to be congenital, eleven were traumatic and twenty-two were iatrogenic. The authors performed twenty five internal urethrotomies, twelve resection-sutures of the urethra and eleven urethroplasties including eight patch grafts with a pedicle derived from scrotal or penile skin, a tubed pedicle scrotal skin flap, one Jurascek urethroplasty and one Leveuf urethroplasty. Internal urethrotomy only gave 50% good results and is now reserved for short strictures less than one centimetre. Of resection-suture is an excellent operation which should be reserved for strictures less than two centimetres: it gave 84% of good results. One of the various types of pedicle cutaneous urethroplasty is certainly the best operation to treat long strictures: it gave more than 90% of good results in the present series.
1977年至1984年间，共治疗了36例尿道狭窄。其中3例为先天性狭窄，11例为外伤性狭窄，22例为医源性狭窄。作者实施了25次尿道内切开术、12次尿道切除缝合术以及11次尿道成形术，包括8次采用阴囊或阴茎皮肤带蒂补片移植、1次带蒂阴囊皮管皮瓣、1次尤拉斯切克尿道成形术和1次勒弗尿道成形术。尿道内切开术仅取得了50%的良好效果，目前仅适用于长度小于1厘米的短段狭窄。切除缝合术是一种出色的手术，应保留用于长度小于2厘米的狭窄：其良好效果率为84%。各种带蒂皮瓣尿道成形术之一无疑是治疗长段狭窄的最佳手术：在本系列中，其良好效果率超过90%。
