Lipsky H, Hubmer G
Br J Urol. 1977;49(7):725-8. doi: 10.1111/j.1464-410x.1977.tb04561.x.
A series of 32 patients underwent direct vision urethrotomy. The technique is simple and the stay in hospital short. Intra- and postoperative complications are rare. Postoperatively, a silicon catheter is left for approximately 7 days, then hydraulic self-dilatation is performed by the patient for 6 months. 25 patients in this series (83%) voided satisfactorily after the procedure and needed no further treatment. Unsatisfactory results were obtained in patients with long strictures, in traumatic strictures with large scarred areas and in patients who failed to carry out regular hydraulic self-dilatation. We advise direct-vision urethrotomy as a treatment of choice for urethral strictures which do not exceed a length of 3 cm.
32例患者接受了直视下尿道切开术。该技术操作简单，住院时间短。术中和术后并发症很少见。术后留置硅胶导尿管约7天，然后患者进行6个月的水囊自我扩张。该组中有25例患者（83%）术后排尿满意，无需进一步治疗。对于尿道狭窄段较长、创伤性狭窄伴有大面积瘢痕形成的患者以及未能定期进行水囊自我扩张的患者，手术效果不满意。我们建议将直视下尿道切开术作为长度不超过3厘米的尿道狭窄的首选治疗方法。
