Horton C E, Devine C J, Graham J K
Plast Reconstr Surg. 1980 Sep;66(3):407-18.
Urethral fistula, the most common complication of urethroplasty, is discussed. There has been no classification for these disorders, and the plethora of reconstruction procedures available often leads to confusion. The classification presented here for acquired fistulas attempts to give direction in the selection of appropriate management in individual cases. Early, acute fistulas are managed conservatively. In the case of mature single fistulas, local tissue may be used for surgical repair. These are subdivided, depending on the size of the opening. Chronic, multiple, large lesions draining the urethra require tissue from a distance for repair. In severe surgical cripples, a total new urethral reconstruction will be required. A new technique to expose the urethra, allowing correction of urethral fistulas with stricture and diverticulum, is described.
本文讨论了尿道瘘，这是尿道成形术最常见的并发症。目前尚无针对这些病症的分类，现有的大量重建手术常常导致混淆。此处提出的获得性瘘管分类试图为个别病例选择合适的治疗方法提供指导。早期急性瘘管采用保守治疗。对于成熟的单个瘘管，可使用局部组织进行手术修复。根据开口大小对其进行细分。慢性、多个、大的尿道引流性病变需要远处组织进行修复。在严重的手术致残病例中，需要进行全新的尿道重建。本文描述了一种暴露尿道的新技术，该技术可用于矫正伴有狭窄和憩室的尿道瘘。
