Attah C A, Mbonu O, Anikwe R M
J Urol. 1982 Aug;128(2):287-9. doi: 10.1016/s0022-5347(17)52890-6.
A plea is made for diversion of urine by suprapubic cystostomy as initial treatment in clinically established urethral injury. When early retrograde urethrography is not possible this study should be done between 3 and 6 weeks after injury, when infection or extravasation of urine at the injured site might have cleared. The quality of x-ray at this time is good and helps to determine the definitive treatment of the resultant stricture, if any. Good results were achieved in 32 patients treated along these guidelines. Poor results were achieved in 13 additional patients treated initially with interlocking sounds, even though the nature of the injury could have contributed partly to the bad result.
对于临床确诊的尿道损伤，有人主张将耻骨上膀胱造瘘作为初始治疗方法来引流尿液。当早期逆行尿道造影无法进行时，这项检查应在损伤后3至6周进行，此时损伤部位的感染或尿液外渗可能已消退。此时的X线质量良好，有助于确定对由此产生的狭窄（如果有的话）的最终治疗方案。按照这些指导方针治疗的32例患者取得了良好的效果。另外13例最初采用连锁探子治疗的患者效果不佳，尽管损伤的性质可能在一定程度上导致了不良结果。
