Coddington Nathaniel, Higgins Margaret, Mian Abrar, Flynn Brian
Division of Urology, University of Colorado Anschutz Medical Campus, Denver, CO 80045, USA.
College of Osteopathic Medicine, Midwestern University, Downers Grove, IL 60515, USA.
J Clin Med. 2022 Nov 28;11(23):7033. doi: 10.3390/jcm11237033.
The bulbar urethra is the most common site of stricture disease for which urethroplasty remains standard of care. A decrease in trauma as an etiology in the developed world and concerns regarding sexual dysfunction related to transection of the corpus spongiosum have placed a renewed emphasis on non-transecting urethroplasty techniques. Here, we present our surgical algorithm with emphasis on non-transecting techniques for bulbar urethral stricture disease and review the current state of literature comparing transecting to non-transecting approaches in order to provide guidance to practitioners on patient selection, counseling, and technique.
球部尿道是狭窄疾病最常见的部位，对于该疾病，尿道成形术仍是标准的治疗方法。在发达国家，作为病因的创伤减少，以及对与海绵体横断相关的性功能障碍的担忧，使得人们重新重视非横断性尿道成形术技术。在此，我们介绍我们的手术方案，重点是球部尿道狭窄疾病的非横断性技术，并回顾比较横断性与非横断性方法的当前文献状态，以便为从业者在患者选择、咨询和技术方面提供指导。
