Netto Júnior N R, Lemos G C, Claro J F
Division of Urology, Hospital Beneficência Portuguesa, São Paulo, Brazil.
J Urol. 1989 Jan;141(1):50-1. doi: 10.1016/s0022-5347(17)40583-0.
Failure of the treatment of posterior urethral stenosis ranges from 10 to 30 per cent. Strictures secondary to pull-through or transpubic urethroplasty are difficult to manage. The management of these strictures is reviewed in 21 children and 84 adults. Of the 105 patients 69 had been treated previously by a perineal pull-through technique and 36 by transpubic urethroplasty. A total of 18 patients (10 in the transpubic and 8 in the pull-through groups) whose results were fair or poor underwent internal urethrotomy with the Sachse knife as a complementary treatment after posterior urethroplasty. Internal urethrotomy provided good results in 8 patients (80 per cent) in the transpubic group and 5 (62.5 per cent) in the pull-through group. None of the patients was incontinent and there was no symptomatic urinary infection postoperatively.
后尿道狭窄的治疗失败率在10%至30%之间。经会阴拖入式或耻骨后尿道成形术继发的狭窄难以处理。对21名儿童和84名成人的这些狭窄的处理情况进行了回顾。在这105名患者中，69名曾接受过会阴拖入式技术治疗，36名接受过耻骨后尿道成形术治疗。共有18名患者（耻骨后组10名，拖入式组8名）治疗效果一般或较差，在接受后尿道成形术后，使用萨克泽刀进行内尿道切开术作为补充治疗。内尿道切开术在耻骨后组8名患者（80%）和拖入式组5名患者（62.5%）中取得了良好效果。所有患者均无尿失禁，术后也没有出现症状性泌尿系统感染。
