Gosálbez R, Martín Osorio J A, Piró C
Fundación Puigvert y Clínica de la Generalitat, Clínica Infantil de la Generalitat, Barcelona.
Actas Urol Esp. 1994 May;18 Suppl:507-13.
Twenty-nine male children with urethral stenosis, with ages between 7 months and 18 years, were treated by endoscopic surgery. The etiology of their condition was trauma in 21 cases and congenital in 8. Location of the stenosis corresponded in 18 cases to membranous urethra, 7 to bulbar urethra, 2 to penial urethra while 2 were double, membranous and bulbar. The magnitude of the stenosis was under 1 cm in 24 cases, between 1 to 2 cm in 4 cases and over 2 cm in 1 case. Treatment carried out was visually controlled endoscopic urethrotomy and endoscopic resection. The results obtained were rated as good in 21 children (72%), but 38% required more than one operation. The best results corresponded to the so-called congenital stenosis and the worse to those secondary to rectal atresia and urethral valves.
29名年龄在7个月至18岁之间的男性尿道狭窄患儿接受了内镜手术治疗。其中21例病因是外伤，8例是先天性的。狭窄部位：18例位于膜部尿道，7例位于球部尿道，2例位于阴茎部尿道，2例为膜部和球部双重狭窄。狭窄长度：24例小于1cm，4例在1至2cm之间，1例超过2cm。治疗方法为直视下内镜尿道切开术和内镜切除术。结果显示，21名患儿（72%）效果良好，但38%的患儿需要进行不止一次手术。最佳结果对应于所谓的先天性狭窄，最差结果对应于继发于直肠闭锁和尿道瓣膜的狭窄。
