Olianas R, Oberbeck D, Pottek T, Schreiter F
Allgemeines Krankenhaus Hamburg-Harburg.
Urologe A. 1998 Jan;37(1):25-30. doi: 10.1007/s001200050144.
Strictures of the bulbous and membranous urethra up to 2.5 cm in length and after visual urethrotomy should be managed with an one-stage perineal anastomotic repair. With description of the surgical techniques the results of 41 patients, treated between 1977 and 1996, are presented. 28 patients had bulbomembraneous strictures as result from urethral disruption at the time of pelvic fracture. In 13 cases with bulbar strictures, 11 had been caused iatrogenously and 2 by infection. A successful outcome was achieved in over 90% (37 patients), equivalent to a maximum uroflow over 15 ml/s, an empty bladder after voiding and a radiographic wide anastomosis. Only 4 patients (9.8%) after surgery required an urethrotomy; two of them are dilated frequently.
长达2.5厘米的球部和膜部尿道狭窄以及直视下尿道切开术后的狭窄，应采用一期会阴吻合修复术进行处理。本文介绍了手术技术，并呈现了1977年至1996年间接受治疗的41例患者的结果。28例患者因骨盆骨折时尿道断裂导致球膜部狭窄。在13例球部狭窄病例中，11例由医源性因素引起，2例由感染引起。超过90%（37例患者）取得了成功的结果，即最大尿流率超过15毫升/秒、排尿后膀胱排空且影像学显示吻合口宽大。术后只有4例患者（9.8%）需要再次进行尿道切开术；其中2例经常进行尿道扩张。
