Peterson N E
J Urol. 1987 Mar;137(3):507-10. doi: 10.1016/s0022-5347(17)44092-4.
Post-traumatic or failed postoperative proximal urethral obliteration commonly is managed by technically demanding transpubic procedures. Five cases are reported, which were treated successfully by forceful retrograde perforation with a urethral sound guided by a finger inserted into the prostatic urethra. Temporary urethral catheterization followed by a program of daily self-dilation by catheter during maturation of the tract, with visual urethrotomy as required, facilitated healing.
创伤后或术后近端尿道闭锁失败通常通过技术要求较高的经耻骨手术来处理。本文报告了5例病例,这些病例通过将手指插入前列腺尿道引导下用尿道探子强力逆行穿孔成功治疗。随后进行临时尿道插管,并在通道成熟期间通过导管进行每日自我扩张,必要时进行直视下尿道切开术,促进愈合。