Venn S N, Mundy A R
Institute of Urology and Nephrology and Department of Urology, Guy's Hospital, London, UK.
Br J Urol. 1998 May;81(5):735-7. doi: 10.1046/j.1464-410x.1998.00634.x.
To review the results of different methods of urethroplasty for anterior urethral strictures caused by balanitis xerotica obliterans (BXO).
Twenty-eight patients underwent urethroplasty for BXO; 12 had a one-stage pedicled penile skin-flap urethroplasty and 16 excision and a two-stage free-graft urethroplasty using nongenital skin.
The treatment failed in all patients undergoing a one-stage pedicle penile skin urethroplasty because the disease recurred with BXO, whereas the treatment failed in only one patient using a two-stage free graft procedure.
A two-stage free-graft urethroplasty using nongenital skin is recommended for anterior urethral strictures caused by BXO.
回顾不同方法治疗闭塞性干燥性龟头炎(BXO)所致前尿道狭窄的疗效。
28例因BXO接受尿道成形术的患者;12例行一期带蒂阴茎皮瓣尿道成形术,16例行切除并采用非生殖器皮肤的二期游离移植尿道成形术。
所有接受一期带蒂阴茎皮瓣尿道成形术的患者治疗均失败,因为疾病随BXO复发,而采用二期游离移植手术的患者仅1例治疗失败。
对于BXO所致前尿道狭窄,推荐采用非生殖器皮肤的二期游离移植尿道成形术。