Fiquet J M, Richaud C, Lacoste J, Hermanowicz M, Serment G, Ducassou J
J Urol (Paris). 1981;87(4):239-41.
The authors report the results of 63 internal urethrotomies for urethral stenosis performed during a four year period. The essential sites were perineal and the most frequent aetiology iatrogenic, particularly after prostatectomy. Overall, the authors obtained 18 satisfactory results, 2 severe complications, 24 failures and 17 patients are too recent to assess or were lost from sight. A second endoscopic urethrotomy gave only very little chance of a definitive recovery. Although the results were not constantly excellent, the series studied by the authors shows that endoscopic internal urethrotomy offers the possibility by a simple technique of obtaining a certain number of durable successes whilst not interfering with the subsequent performance of other types of urethroplasty. Finally, in a certain number of cases endoscopic internal urethrotomy facilitates subsequent dilatations.
作者报告了在四年期间进行的63例尿道狭窄内切开术的结果。主要部位是会阴,最常见的病因是医源性的,尤其是前列腺切除术后。总体而言,作者获得了18例满意的结果,2例严重并发症,24例失败,17例患者因时间过近无法评估或失访。再次进行内镜下尿道内切开术获得最终治愈的机会很小。虽然结果并非一直都很理想,但作者所研究的系列病例表明,内镜下尿道内切开术通过一种简单的技术有可能取得一定数量的持久成功,同时又不影响后续其他类型尿道成形术的实施。最后,在某些病例中,内镜下尿道内切开术便于后续的扩张治疗。