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外翻尿道口成形术治疗尿道外口狭窄

Eversion meatoplasty in management of urethral meatal stenosis.

作者信息

el-Kasaby A W, el-Baz M A, el-Zayat T

机构信息

Department of Urology, Ain Shams University, Cairo, Egypt.

出版信息

Int Urol Nephrol. 1996;28(2):229-33. doi: 10.1007/BF02550867.

DOI:10.1007/BF02550867
PMID:8836795
Abstract

Urethral meatal stenosis is common, producing about 5 per cent of all new patients in paediatric urologist office [1]. It may be congenital or acquired. The acquired type can follow repeated urinary tract infection or urethral instrumentation. Herein we present an eversion meatoplasty which is a simple technique that can be done even under local infiltration anaesthesia especially in children older than 10 years. This technique was applied in 100 cases. The results were excellent, apart from urinary spraying in the first few days that was noticed in 13 cases and disappeared spontaneously. Restenosis was not encountered in any of our cases.

摘要

尿道外口狭窄很常见,约占小儿泌尿外科门诊所有新患者的5%[1]。它可能是先天性的或后天获得性的。后天性类型可继发于反复的尿路感染或尿道器械操作。在此,我们介绍一种外翻尿道口成形术,这是一种简单的技术,即使在局部浸润麻醉下也能进行,特别是对于10岁以上的儿童。该技术应用于100例患者。结果非常好,除了13例患者在术后最初几天出现尿液喷洒现象,但均自行消失。我们的病例中未出现再狭窄情况。

相似文献

1
Eversion meatoplasty in management of urethral meatal stenosis.外翻尿道口成形术治疗尿道外口狭窄
Int Urol Nephrol. 1996;28(2):229-33. doi: 10.1007/BF02550867.
2
Wedge urethral meatotomy in meatal stenosis secondary to web formation.后唇状尿道肉阜切开术治疗因融合性尿道下裂所致的尿道外口狭窄。
J Pediatr Urol. 2022 Jun;18(3):334.e1-334.e6. doi: 10.1016/j.jpurol.2022.02.022. Epub 2022 Mar 10.
3
Meatal stenosis: a retrospective analysis of over 4000 patients.尿道口狭窄:对4000多名患者的回顾性分析。
J Pediatr Urol. 2015 Feb;11(1):38.e1-6. doi: 10.1016/j.jpurol.2014.09.006. Epub 2015 Feb 4.
4
Complication of newborn circumcision: Meatal stenosis or meatal web?新生儿包皮环切术并发症:尿道口狭窄还是尿道下裂?
J Pediatr Urol. 2017 Dec;13(6):617.e1-617.e4. doi: 10.1016/j.jpurol.2017.05.007. Epub 2017 Jun 2.
5
Urethral strictures in childhood.
Br J Urol. 1988 Dec;62(6):590-2. doi: 10.1111/j.1464-410x.1988.tb04432.x.
6
Surgical therapy of congenital distal urethral stenoses in girls by meatoplasty.女童先天性远端尿道狭窄的尿道口成形术手术治疗
Int Urol Nephrol. 1987;19(3):327-32. doi: 10.1007/BF02549871.
7
Uroflowmetry parameters before and after meatoplasty for primary symptomatic meatal stenosis in children.儿童原发性症状性尿道口狭窄行尿道口成形术后的尿流率参数
J Urol. 2008 Jun;179(6):2403-6; discussion 2406. doi: 10.1016/j.juro.2008.01.169. Epub 2008 Apr 23.
8
[Meatoplasty with pedicle flap for meatal stenosis secondary to chronic balanitis].带蒂皮瓣肉成形术治疗慢性龟头炎继发尿道狭窄
Zhonghua Nan Ke Xue. 2015 Jul;21(7):630-3.
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[Treatment of congenital urethral stenosis (urethral ring) in children. Optic internal urethrotomy in the congenital bulbar urethral stenosis in boys].[儿童先天性尿道狭窄(尿道环)的治疗。男孩先天性球部尿道狭窄的直视下内部尿道切开术]
Nihon Hinyokika Gakkai Zasshi. 1989 May;80(5):704-10. doi: 10.5980/jpnjurol1989.80.704.
10
Buccal mucosal urethral replacement.颊黏膜尿道替代术。
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1
Comparison the Diameter of the Urethral Meatus Before and After Circumcision and Evaluation of Urethral Stenosis.包皮环切术后尿道口直径比较及尿道狭窄评估
Glob Pediatr Health. 2024 Mar 7;11:2333794X241237059. doi: 10.1177/2333794X241237059. eCollection 2024.
2
Wedge meatoplasty as a treatment for stricture of the urethral meatus in a cat.楔形尿道口成形术治疗猫尿道口狭窄
J Feline Med Surg. 2012 Jun;14(6):428-31. doi: 10.1177/1098612X12442040. Epub 2012 Mar 8.

本文引用的文献

1
Meatal stenosis in children.儿童尿道口狭窄
J Urol. 1974 Oct;112(4):526-7. doi: 10.1016/s0022-5347(17)59782-7.
2
Pediatric office procedures.儿科门诊操作
Urol Clin North Am. 1988 Nov;15(4):715-23.
3
Normal size of the urethral meatus in boys.
J Urol. 1976 Jun;115(6):736-7. doi: 10.1016/s0022-5347(17)59355-6.