Albers P, Fichtner J, Brühl P, Müller S C
Department of Urology, Bonn University Medical Center, Germany.
J Urol. 1996 Nov;156(5):1611-4.
A retrospective analysis was done of long-term results of internal urethrotomy to evaluate risk factors of stricture recurrence.
Followup studies were performed of 937 patients with urethral strictures treated with internal urethrotomy. Of the patients 357 were treated at Mainz University between 1977 and 1989 (mean followup 4.6 years) and 580 were treated at Bonn University between 1974 and 1986 (mean followup 3.2 years).
Strictures recurred in 96 of 357 (26.9%) and 260 of 580 (44.8%) patients, respectively. Risk factors for recurrence were etiology (post-transurethral resection and inflammation), stricture longer than 1 cm. and postoperative catheter drainage for longer than 3 days.
Urethroplasty should be considered in patients at high risk for stricture recurrence and with more than 1 treatment failure after urethrotomy.
对尿道内切开术的长期结果进行回顾性分析，以评估狭窄复发的危险因素。
对937例行尿道内切开术治疗的尿道狭窄患者进行随访研究。其中357例患者于1977年至1989年在美因茨大学接受治疗（平均随访4.6年），580例患者于1974年至1986年在波恩大学接受治疗（平均随访3.2年）。
357例患者中有96例（26.9%）复发，580例患者中有260例（44.8%）复发。复发的危险因素包括病因（经尿道切除术后和炎症）、狭窄长度超过1 cm以及术后导尿管引流超过3天。
对于狭窄复发高危且尿道切开术后治疗失败超过1次的患者，应考虑行尿道成形术。
