Nguyen-Qui J L, Ziede E, Goldschmidt P, Bringer J P, Pellerin J P, Bollack C
Ann Urol (Paris). 1984 Feb;18(1):28-32.
Ninety patients presenting with urethral stenosis were treated surgically at the Strasbourg Hospital, involving 100 internal urethrotomies and sixteen urethroplasties. The authors consider that short bulbous stenosis, with no previous treatment, should be treated endoscopically; that, if the stenosis recurs after two internal urethrotomies, or if the stenosis is infected or located in the pendulous or membranous urethra, a urethroplasty is indicated, as in cases of long bulbous stenosis; and that, even though the rate of complications is high following Johansson's urethroplasty, this procedure is indicated in cases of infection. The use of free full-thickness grafts led to a 100% success rate.
90例尿道狭窄患者在斯特拉斯堡医院接受了手术治疗,共进行了100次尿道内切开术和16次尿道成形术。作者认为,无前次治疗史的短球部狭窄应采用内镜治疗;若两次尿道内切开术后狭窄复发,或狭窄伴有感染、位于阴茎部或膜部尿道,则应行尿道成形术,如同长球部狭窄的情况;并且,尽管约翰松尿道成形术后并发症发生率较高,但在伴有感染的病例中仍应采用该术式。使用游离全层移植物的成功率为100%。