Dalkin B L
Department of Surgery, Arizona Health Sciences Center, Tucson 85724, USA.
J Urol. 1996 Jan;155(1):206-8.
We describe endoscopic findings and treatment outcome in 17 men who presented with a symptomatic anastomotic stricture after radical prostatectomy.
Endoscopic evaluation revealed an immature stricture in 6 men, which was treated by initial dilation and subsequent cold-knife urethrotomy. The 11 men with a mature anastomotic stricture were treated by initial cold-knife urethrotomy (10) or dilation followed by urethrotomy (1).
There were no long-term complications from treatment, which was successful in 15 of the 17 men (88%).
Initial dilation with subsequent urethrotomy for immature or initial urethrotomy for mature anastomotic strictures is a safe and effective treatment plan.
我们描述了17例根治性前列腺切除术后出现有症状吻合口狭窄的男性患者的内镜检查结果及治疗效果。
内镜评估显示6例男性为不成熟狭窄，采用初始扩张及随后的冷刀尿道切开术治疗。11例成熟吻合口狭窄的男性患者，10例采用初始冷刀尿道切开术，1例采用扩张后尿道切开术治疗。
治疗无长期并发症，17例患者中有15例（88%）治疗成功。
对于不成熟吻合口狭窄，先进行扩张随后行尿道切开术；对于成熟吻合口狭窄，初始行尿道切开术，这是一种安全有效的治疗方案。
