Delmas V, Billebaud T, Moulonguet A, Boccon-Gibod L
Service d'Urologie, CHU Bichat, Paris.
Ann Urol (Paris). 1989;23(2):131-3.
A man presenting complete traumatic disruption of the membranous urethra, with a 1 cm gap between the proximal and distal urethra, underwent successful endoscopic reconstruction ten days after the injury. When the urethral catheter was removed after fifteen days, peak flow rate was 25 cc per second. One internal urethrotomy was necessary 8 months later. Twenty months after the injury, cystography and retrograde urethrography revealed satisfactory restoration of urethral continuity. We suggest that this treatment be considered in complete traumatic disruption without hematoma and with less than a 1 cm gap between the proximal and distal urethra.
一名男性出现膜部尿道完全性创伤性断裂，近端和远端尿道之间有1厘米的间隙，在受伤十天后成功进行了内镜重建。十五天后拔除尿道导管时，最大尿流率为每秒25毫升。8个月后需要进行一次尿道内切开术。受伤二十个月后，膀胱造影和逆行尿道造影显示尿道连续性恢复良好。我们建议，对于无血肿且近端和远端尿道间隙小于1厘米的完全性创伤性断裂，可考虑这种治疗方法。
