Rekhraj I R
Ann Acad Med Singap. 1984 Oct;13(4):658-64.
The treatment of urethral strictures has been revolutionised since urethroplasty was described three decades ago. Although majority of strictures respond to the age old procedure of bouginage, a small number, however, need surgical intervention because of associated complications. Over the past six years, thirty-four patients were treated by some form of urethroplasty. Eighteen had meatoplasty for meatal stenosis, two of which recurred and were converted to two stage anterior urethroplasty. Three patients, with long anterior stricture, were subjected to two staged operation as a primary procedure. The posterior urethra was affected in eight patients and two of them also had fistulae. All these patients were subjected to urethroplasty which was modified according to the extent of stricture. Two patients with prostato-membranous strictures were dealt with transpubically in one stage. In five patients the entire urethra distal to the membranous part was affected by a long standing stricture, three of whom were also complicated by fistulae. They were similarly dealt by a full length two stage urethroplasty. Satisfactory results were achieved in all except three patients whose stricture recurred and needed a surgical reconstruction. Only one patient in this series developed impotence and true incontinence.
自从三十年前描述尿道成形术以来，尿道狭窄的治疗发生了革命性变化。尽管大多数狭窄对古老的尿道扩张术有反应，但仍有少数因相关并发症而需要手术干预。在过去六年中，34例患者接受了某种形式的尿道成形术。18例因尿道口狭窄接受尿道口成形术，其中2例复发，改行两期前尿道成形术。3例前尿道长段狭窄患者，一期行两期手术作为主要治疗方法。8例患者后尿道受累，其中2例合并瘘管。所有这些患者均接受了根据狭窄程度改良的尿道成形术。2例前列腺膜部狭窄患者一期经耻骨入路处理。5例患者膜部远端整个尿道受长期狭窄影响，其中3例合并瘘管。他们同样接受了全段两期尿道成形术。除3例狭窄复发需要手术重建的患者外，所有患者均取得了满意的效果。本系列中只有1例患者出现阳痿和真性尿失禁。
