Sibert A, Billebaud T, Cornud F, Delmas V, Blangy S, Benacerraf R, Moulonguet A
Service de Radiologie, Hôpital Bichat, Paris.
Ann Urol (Paris). 1989;23(1):39-42.
In eleven patients with impassable urethral stenoses, we attempted retrograde catheterisation with an angiographic guide under fluoroscopic control. The stenosis was able to be negotiated with the guide in 10 cases (91% success). After dilatation by dilators (coaxial or rigid) or by Olbert's angioplasty balloon, we were able to introduce a Foley catheter into the bladder. The only failure was caused by a very marked separation of the two ends of the urethra due to trauma. This simple and effective method constitutes an alternative to immediate surgical treatment of endoscopically impassable urethral stenoses.
对于11例尿道狭窄无法通过的患者，我们尝试在荧光透视控制下使用血管造影导丝进行逆行插管。在10例患者中（成功率91%），狭窄部位能够通过导丝成功通过。在使用扩张器（同轴或刚性）或Olbert血管成形球囊进行扩张后，我们成功将Foley导尿管插入膀胱。唯一的失败是由于创伤导致尿道两端严重分离。这种简单有效的方法是内镜下无法通过的尿道狭窄即刻手术治疗的一种替代方法。
