Seppelt U
Endoscopy. 1981 Mar;13(2):74-6. doi: 10.1055/s-2007-1021651.
Postoperative contracture is a rare cause of the secondary obstructions of the vesical neck, besides remnants of prostatic adenomas, recurrent adenoma and prostatic cancer. It appears morphologically either as circumscribed sclerosis, as so-called sphincter sclerosis, or as extensive contracture of the entire prostatic urethra. Severe postoperative contracture with an iris-shaped membrane at the site of the internal sphincter is the most frequent form up to one year after primary surgery. The overall incidence has been given as 1.37%, of which 13.6% were refractory to therapy and recurred. Special forms of therapy are discussed.
除前列腺腺瘤残留、复发性腺瘤和前列腺癌外，术后挛缩是膀胱颈继发性梗阻的罕见原因。其形态学表现为局限性硬化，即所谓的括约肌硬化，或整个前列腺尿道的广泛性挛缩。内括约肌部位出现虹膜状膜的严重术后挛缩是初次手术后一年内最常见的形式。总体发生率为1.37%，其中13.6%对治疗无效并复发。文中讨论了特殊的治疗形式。
