Novak R
Int Urol Nephrol. 1983;15(1):43-9. doi: 10.1007/BF02082106.
In the introduction the author stresses that the main facts which decide the choice and prognosis of therapy are localization, length and the so-called complexity of the stricture. His 15-year material from 388 operations on 290 patients is presented. Circular strictures of the anterior urethra (a total of 135 operations) are treated through endoscopic urethrotomy as the primary procedure and mostly by open resection as the secondary one. Longitudinal strictures of the anterior urethra (199 operations) are treated by marsupialization, pedicled cutaneous flap and Michalowski's "sleeve" technique as primary procedures. As the secondary procedure (after failure of the first operation) marsupialization only was performed. Complex strictures of the posterior urethra (total 54) were treated mostly by transpubic approach, which showed good results in 74% cases on 41 operations.
在引言部分，作者强调决定治疗选择和预后的主要因素是狭窄的部位、长度以及所谓的复杂性。文中展示了他对290例患者进行388次手术的15年资料。前尿道环形狭窄（共135例手术），作为主要治疗方法，首选内镜下尿道切开术，其次多采用开放性切除术。前尿道纵向狭窄（199例手术），主要治疗方法为袋形缝合术、带蒂皮瓣移植术和米哈洛夫斯基“套袖”技术。作为次要治疗方法（首次手术失败后），仅进行袋形缝合术。后尿道复杂性狭窄（共54例），大多采用经耻骨入路治疗，在41例手术中，74%的病例效果良好。
