Webster G D, Mathes G L, Selli C
J Urol. 1983 Nov;130(5):898-902. doi: 10.1016/s0022-5347(17)51561-x.
Controversy surrounds the management of prostatomembranous urethral injuries. We herein present 38 patients and review the findings of 538 in 19 reported series. Results indicate a high risk of stricture, impotence and incontinence if conventional early urethral realignment techniques are used. Therefore, it is suggested that this approach be reserved for cases demanding immediate intervention (high riding bladder, associated rectal tear, concomitant bladder neck injury or continued bleeding), and that all others be managed by initial suprapubic cystostomy alone and delayed urethroplasty. Urethroplasty selection is discussed.
前列腺膜部尿道损伤的处理存在争议。我们在此报告38例患者，并回顾19篇报道系列中538例的研究结果。结果表明，如果采用传统的早期尿道复位技术，发生尿道狭窄、阳痿和尿失禁的风险很高。因此，建议仅将这种方法用于需要立即干预的病例（高位膀胱、合并直肠撕裂、伴有膀胱颈损伤或持续出血），其他所有病例应首先仅行耻骨上膀胱造瘘术，并延迟进行尿道成形术。本文还讨论了尿道成形术的选择。
