Ivaz Stella, Bugeja Simon, Frost Anastasia, Andrich Daniela, Mundy Anthony R
Institute of Urology at UCLH, 16-18 Westmoreland Street, London W1g 8PH, UK.
Institute of Urology at UCLH, 16-18 Westmoreland Street, London W1g 8PH, UK; UCLH NHS Foundation Trust, Trust Headquarters, 2nd Floor Central, 250 Euston Road, London NW1 2PG, UK.
Urol Clin North Am. 2017 Feb;44(1):57-66. doi: 10.1016/j.ucl.2016.08.012.
The standard treatment of bulbar urethral strictures of appropriate length is excision and primary anastomosis (EPA), irrespective of the cause of the stricture. This involves transection of the corpus spongiosum (CS) and disruption of the blood flow within the CS as a consequence. The success rate of EPA in curing these strictures is very high, but there is a considerable body of evidence and of opinion to suggest that there is a significant risk of sexual dysfunction and, potentially, of other adverse consequences that occur because of transection of the CS.
对于长度合适的球部尿道狭窄，标准治疗方法是切除并一期吻合（EPA），无论狭窄病因如何。这涉及海绵体（CS）横断，其结果是CS内血流中断。EPA治愈这些狭窄的成功率很高，但有大量证据和观点表明，存在性功能障碍的重大风险，并且由于CS横断，还可能存在其他不良后果。
