Chilton C P, Shah P J, Fowler C G, Tiptaft R C, Blandy J P
Br J Urol. 1983 Dec;55(6):705-10. doi: 10.1111/j.1464-410x.1983.tb03410.x.
The introduction of optical urethrotomy by Sachse has reduced the need for urethroplasty: 261 urethroplasties were performed between 1964 and 1983, of which 87 were performed in one stage on patients who would today have undergone urethrotomy as the procedure of first choice. The results in this group are compared with those in 151 patients treated between 1978 and 1983 by 265 internal optical urethrotomies. At 5 years 50% of those treated by urethrotomy needed no further treatment, compared with 83% of those treated by urethroplasty. Nevertheless, the ease and safety of urethrotomy makes it the procedure of first choice, and urethoroplasty should be reserved either for cases where urethrotomy is unsuitable or where it has been tried on several occasions without success.
1964年至1983年间进行了261例尿道成形术,其中87例是对如今会首选尿道切开术的患者进行的一期手术。将该组结果与1978年至1983年间接受265次内部光学尿道切开术治疗的151例患者的结果进行比较。5年后,接受尿道切开术治疗的患者中有50%无需进一步治疗,而接受尿道成形术治疗的患者这一比例为83%。然而,尿道切开术的简便性和安全性使其成为首选手术,尿道成形术应仅保留用于尿道切开术不适用的病例或多次尝试但未成功的病例。