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两阶段阴囊皮瓣尿道成形术治疗尿道狭窄的经验

Experience with two-stage scrotal flap urethroplasty for stricture.

作者信息

Kinn A C, Fritjofsson A

出版信息

Br J Urol. 1983 Feb;55(1):57-63. doi: 10.1111/j.1464-410x.1983.tb07080.x.

DOI:10.1111/j.1464-410x.1983.tb07080.x
PMID:6824865
Abstract

A series of 50 men with variously-caused stricture of the bulbar and/or membranous urethra is presented. The 2-stage scrotal flap urethroplasty described by Blandy was used. As a rule the operation was technically simple. Post-operative incontinence was not a problem. Recurrence or new stricture appeared in 7 cases, but 5 of these strictures were short and could be corrected with internal urethrotomy. Timed micturition showed improved voiding in all of the 18 patients studied before and after urethroplasty. Urodynamic studies in the last 8 cases of the series before and after urethroplasty showed significantly improved urinary flow and voiding post-operatively, with reduction of detrusor pressure and residual urine.

摘要

本文报告了50例因各种原因导致球部和/或膜部尿道狭窄的男性患者。采用了Blandy描述的两期阴囊皮瓣尿道成形术。通常,该手术在技术上较为简单。术后尿失禁不是问题。7例出现复发或新的狭窄,但其中5例狭窄较短,可通过尿道内切开术纠正。定时排尿显示,在接受尿道成形术前后接受研究的18例患者中,排尿情况均有所改善。该系列最后8例患者在尿道成形术前后进行的尿动力学研究显示,术后尿流和排尿明显改善,逼尿肌压力和残余尿量减少。

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