Sandozi S, Ghazali S
Department of Surgery, Farwania Hospital, Salmiya, Kuwait.
J Urol. 1988 Nov;140(5):968-9. doi: 10.1016/s0022-5347(17)41900-8.
Urethrotomy with the Sachse optical urethrotome has radically modified our management of strictures of the male urethra. A total of 143 patients underwent 210 procedures during 6 years. The strictures resolved in 85 per cent of the patients and they required no further treatment, including 52 patients followed for more than 6 years. A modified surgical technique using a pediatric cystoscope is described to inspect, traverse and cannulate the urethral stricture before optical urethrotomy, thus, enabling successful management of even the most difficult strictures. Our results confirm that the best prospects of cure were short and single urethral strictures, and that optical urethrotomy is the treatment of choice for strictures of the male urethra.
使用萨克泽光学尿道切开刀进行尿道切开术已从根本上改变了我们对男性尿道狭窄的处理方式。在6年期间，共有143例患者接受了210次手术。85%的患者狭窄得到解决，无需进一步治疗，其中52例患者随访超过6年。本文描述了一种改良的手术技术，即在光学尿道切开术前使用小儿膀胱镜检查、穿过并插入尿道狭窄处，从而能够成功处理甚至是最难处理的狭窄。我们的结果证实，治愈的最佳前景是短的单一尿道狭窄，并且光学尿道切开术是男性尿道狭窄的首选治疗方法。
