Dielubanza Elodi J, Han Justin S, Gonzalez Chris M
Department of Urology, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USA.
Transl Androl Urol. 2014 Jun;3(2):163-9. doi: 10.3978/j.issn.2223-4683.2014.04.02.
Distal urethral strictures involving the fossa navicularis and meatus represent a unique subset of urethral strictures that are particularly challenging to reconstructive urologists. Management of distal urethral strictures must take into account not only maintenance of urethral patency but also glans cosmesis. A variety of therapeutic approaches exist for the management of distal urethral strictures, including dilation, meatotomy, extended meatotomy, flap urethroplasty, and substitution grafting. Common etiologies for distal urethral strictures include lichen sclerosus, instrumentation, and prior hypospadias repair. Proper patient selection is paramount to the ultimate success and durability of the treatment, which should be individualized and include an assessment of the stricture etiology, location, and burden, and patient-centered goals of care.
累及舟状窝和尿道口的尿道远端狭窄是尿道狭窄中的一个独特类型，对重建泌尿外科医生来说极具挑战性。尿道远端狭窄的治疗不仅要考虑维持尿道通畅，还要兼顾龟头的美观。治疗尿道远端狭窄有多种方法，包括扩张、尿道口切开术、延长尿道口切开术、皮瓣尿道成形术和替代移植术。尿道远端狭窄的常见病因包括硬化性苔藓、器械操作和既往尿道下裂修复术。正确选择患者对于治疗的最终成功和持久性至关重要，治疗应个体化，包括对狭窄病因、位置、程度的评估以及以患者为中心的护理目标。
