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采用增强吻合性尿道成形术成功治疗复杂性球部尿道狭窄：一例报告

Complicated bulbar urethral stricture successfully treated using augmented anastomotic urethroplasty: A case report.

作者信息

Tabei Tadashi, Horiguchi Akio, Kobayashi Kazuki

机构信息

Department of Urology Yokosuka Kyosai Hospital Yokosuka Kanagawa Japan.

Department of Urology National Defense Medical College Tokorozawa Saitama Japan.

出版信息

IJU Case Rep. 2019 Jul 28;2(5):292-295. doi: 10.1002/iju5.12113. eCollection 2019 Sep.

DOI:10.1002/iju5.12113
PMID:32743441
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7292066/
Abstract

INTRODUCTION

Management of a complicated urethral stricture is a urological challenge. We present a case of a complicated urethral stricture successfully treated using augmented anastomotic urethroplasty.

CASE PRESENTATION

A 48-year-old man visited our department for the treatment of urethral stricture, for which repeated transurethral procedures had failed. The operative view revealed that the urethral lumen was, in fact, completely obliterated over a 30-mm segment. We proceeded with augmented anastomotic urethroplasty. After the excision of the obliterated lesion, the ventral half of the bulbar urethral ends was anastomosed and their dorsal half was subsequently augmented via buccal mucosa spread and then fixed to the corpus cavernosa. There has been no indication of recurrence, 4 months after the procedure.

CONCLUSION

Augmented anastomotic urethroplasty is a useful technique for repairing a complicated bulbar stricture. Urologists should understand appropriate indications for each treatment method so as to not make cases more complicated to treat.

摘要

引言

复杂尿道狭窄的治疗是一项泌尿外科挑战。我们报告一例采用增强吻合性尿道成形术成功治疗复杂尿道狭窄的病例。

病例介绍

一名48岁男性因尿道狭窄前来我院治疗，此前反复经尿道手术均失败。手术视野显示，尿道腔在30毫米节段实际上完全闭塞。我们进行了增强吻合性尿道成形术。切除闭塞病变后，吻合球部尿道末端的腹侧半部分，随后通过颊黏膜铺片增强其背侧半部分，然后固定于海绵体。术后4个月无复发迹象。

结论

增强吻合性尿道成形术是修复复杂球部狭窄的一种有用技术。泌尿外科医生应了解每种治疗方法的适当适应症，以免使病例治疗更加复杂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a52f/7292066/358570c4e7b9/IJU5-2-292-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a52f/7292066/0fbffdba05de/IJU5-2-292-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a52f/7292066/ce60c08fad40/IJU5-2-292-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a52f/7292066/f5eb2a6a1a79/IJU5-2-292-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a52f/7292066/358570c4e7b9/IJU5-2-292-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a52f/7292066/0fbffdba05de/IJU5-2-292-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a52f/7292066/ce60c08fad40/IJU5-2-292-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a52f/7292066/f5eb2a6a1a79/IJU5-2-292-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a52f/7292066/358570c4e7b9/IJU5-2-292-g004.jpg

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Do Transurethral Treatments Increase the Complexity of Urethral Strictures?经尿道治疗是否会增加尿道狭窄的复杂性？
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Urethral strictures.尿道狭窄。
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