Giannakopoulos X, Grammenniatis E, Garzios A, Kotoulas K
Clinique Urologique, Université de Ionannina, Hôpital Universitaire de Ionannina, Grèce.
J Urol (Paris). 1995;101(2):81-7.
The results observed in a series of 40 patients treated for urethral stricture by endoscopic resection of the callus after internal endoscopic urethrotomy (Guillemin's technique) are presented. The mean age of the patients was 57 years, with a follow-up of five years. The authors obtained 80% (32 patients) of very good results for urethral strictures less than 1 cm long. The success rate of the technique was 10% (4 patients) when the callus was between 1 and 2 cm long. The recurrence rate was high for strictures longer than 2 cm (4 patients) (10%). Complications consisted of 2 cases of acute epididymitis, 2 cases of urethral perforation, 2 cases of urethral haemorrhage, 2 cases of perineal haematoma and 3 cases of meatal stenosis. The indications of this original technique therefore depend more on the length of the urethral stricture than on its topography or its aetiology.
本文介绍了40例采用内镜下尿道内切开术后切除胼胝体（Guillemin技术）治疗尿道狭窄患者的观察结果。患者的平均年龄为57岁，随访时间为5年。对于长度小于1 cm的尿道狭窄，作者获得了80%（32例患者）的非常好的治疗效果。当胼胝体长1至2 cm时，该技术的成功率为10%（4例患者）。对于长度超过2 cm的狭窄（4例患者）（10%），复发率较高。并发症包括2例急性附睾炎、2例尿道穿孔、2例尿道出血、2例会阴血肿和3例尿道口狭窄。因此，这种原始技术的适应证更多地取决于尿道狭窄的长度，而不是其位置或病因。
