Kirchheim D, Tremann J A, Ansell J S
J Urol. 1978 Apr;119(4):496-9. doi: 10.1016/s0022-5347(17)57528-x.
Transurethral urethrotomy under vision with the Sachse urethrotome is a new surgical procedure for the treatment of urethral strictures. The chief advantage of the urethrotome is the fact that the surgeon can cut strictures selectively and accurately under clear vision. The procedure is less painful than blind internal urethrotomy and less extensive cases can be done in the office with the patient under local anesthesia. We report on 36 cases with at least 6 months of followup. In 20 cases the strictures were distal to the prostate and the results were considered good in 16, improved in 3 and a failure in 1. The other 16 cases involved vesical neck contractures and all patients had good results. The technique for urethral strictures distal to the prostate and for vesical neck contractures is described and postoperative treatment is emphasized and discussed.
使用萨克泽尿道切开刀在直视下经尿道尿道切开术是一种治疗尿道狭窄的新手术方法。该尿道切开刀的主要优点是外科医生能够在清晰视野下选择性且准确地切开狭窄部位。该手术比盲目经尿道内切开术疼痛轻，在办公室就可以为病情不太复杂的患者实施局部麻醉下的手术。我们报告了36例至少随访6个月的病例。其中20例狭窄位于前列腺远端，16例效果良好，3例改善，1例失败。另外16例涉及膀胱颈挛缩，所有患者效果良好。本文描述了前列腺远端尿道狭窄和膀胱颈挛缩的手术技术，并重点强调和讨论了术后治疗。
