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单阶段背侧覆盖颊黏膜移植尿道成形术治疗复发性双腔尿道狭窄:一例报告

Recurrent urethral stricture with dual lumen managed by a single stage dorsal Onlay buccal mucosal graft Urethroplasty: a case report.

作者信息

Alkhayal Abdullah, Alrabeeah Khalid, Alsaikhan Bader H, Alathel Abdulaziz, Barayan Fahad R, Alsaghyir Abdullah

机构信息

College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.

Division of Urology, Department of Surgery, Ministry of National Guard - Health Affairs, Riyadh, Saudi Arabia.

出版信息

J Surg Case Rep. 2022 Aug 23;2022(8):rjac365. doi: 10.1093/jscr/rjac365. eCollection 2022 Aug.

DOI:10.1093/jscr/rjac365
PMID:36017526
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9398502/
Abstract

Urethral stricture is defined as any abnormal narrowing throughout the entire length of the male urethra. Anterior urethral stricture is the most common site which accounts for more than 90% of cases in developed countries. One of the possible long-term outcomes of urethral stricture treatment is stricture recurrence. Refractory urethral strictures to initial management present surgical challenges to the reconstructive surgeon. It has been reported in the literature that buccal mucosal grafts in complex anterior urethral strictures have lately become a well-established management modality for bulbar and penile urethral strictures. Here, we are presenting an interesting case of a patient with a dual lumen urethra due to recurrent urethral stricture.

摘要

尿道狭窄被定义为男性尿道全长任何部位的异常狭窄。前尿道狭窄是最常见的部位,在发达国家超过90%的病例发生于此。尿道狭窄治疗可能的长期后果之一是狭窄复发。初始治疗难治的尿道狭窄给重建外科医生带来了手术挑战。文献报道,在复杂性前尿道狭窄中,颊黏膜移植近来已成为球部和阴茎部尿道狭窄一种成熟的治疗方式。在此,我们呈现一例因复发性尿道狭窄导致双腔尿道患者的有趣病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c06e/9398502/6f1c9a951d9c/rjac365f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c06e/9398502/8992634de97a/rjac365f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c06e/9398502/866f796e5962/rjac365f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c06e/9398502/b5f332c4f4c8/rjac365f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c06e/9398502/144deab9c872/rjac365f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c06e/9398502/6f1c9a951d9c/rjac365f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c06e/9398502/8992634de97a/rjac365f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c06e/9398502/866f796e5962/rjac365f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c06e/9398502/b5f332c4f4c8/rjac365f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c06e/9398502/144deab9c872/rjac365f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c06e/9398502/6f1c9a951d9c/rjac365f5.jpg

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本文引用的文献

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Diagnosis and treatment of anterior urethral strictures in China: an internet-based survey.中国前尿道狭窄的诊断和治疗:一项基于互联网的调查。
BMC Urol. 2021 Dec 31;21(1):185. doi: 10.1186/s12894-021-00950-0.
2
Buccal mucosal graft urethroplasty for anterior urethral stricture, experience from a low-income country.颊黏膜移植尿道成形术治疗前尿道狭窄:来自低收入国家的经验。
BMC Urol. 2021 Dec 7;21(1):171. doi: 10.1186/s12894-021-00918-0.
3
Dorsal Onlay Oral Mucosa Graft Urethroplasty: A Case Report and Review of Literature.背侧嵌贴式口腔黏膜移植尿道成形术:一例报告及文献综述
Case Rep Urol. 2020 Oct 5;2020:8822007. doi: 10.1155/2020/8822007. eCollection 2020.
4
A Comprehensive Review Emphasizing Anatomy, Etiology, Diagnosis, and Treatment of Male Urethral Stricture Disease.男性尿道狭窄疾病的解剖学、病因学、诊断和治疗的综合综述
Biomed Res Int. 2019 Apr 18;2019:9046430. doi: 10.1155/2019/9046430. eCollection 2019.
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[Redo urethroplasty with buccal mucosa].[采用颊黏膜的尿道重建术]
Urologe A. 2017 Oct;56(10):1274-1281. doi: 10.1007/s00120-017-0475-4.
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Male Urethral Stricture: American Urological Association Guideline.男性尿道狭窄:美国泌尿外科学会指南。
J Urol. 2017 Jan;197(1):182-190. doi: 10.1016/j.juro.2016.07.087. Epub 2016 Aug 3.
7
Redo buccal mucosa graft urethroplasty: success rate, oral morbidity and functional outcomes.再次行颊黏膜移植尿道成形术:成功率、口腔发病率及功能结局
BJU Int. 2016 Nov;118(5):797-803. doi: 10.1111/bju.13528. Epub 2016 Jun 11.
8
Management of recurrent anterior urethral strictures following buccal mucosal graft-urethroplasty: A single center experience.颊黏膜移植尿道成形术后复发性前尿道狭窄的管理:单中心经验
Urol Ann. 2016 Jan-Mar;8(1):31-5. doi: 10.4103/0974-7796.162217.
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Familial bulbar urethral strictures.家族性球部尿道狭窄
BMJ Case Rep. 2014 Mar 3;2014:bcr2013202857. doi: 10.1136/bcr-2013-202857.