el-Kassaby A W, Fath-Alla M, Maged W, Abdel-Aal A
Service d'Urologie, Université Ain-Shams, Le Caire, Egypte.
Prog Urol. 1998 Dec;8(6):1022-8.
Treatment of long or multiple anterior urethral stricture(s) when Monseur technique is not applicable. Our technique entails augmentation of the dorsally slit open stenosed urethra using pedicled non-hair bearing penile skin.
Between June 1991 and May 1996, 26 men (median age 34 years) with anterior urethral strictures underwent roofing urethroplasty. Nine patients had long stricture (average 3.2 cm) and 17 had multiple short segment strictures (average 7 cm). All patients were circumcised, and dorsal urethral augmentation was performed using transversely oriented non-hair bearing penile skin pedicled flap.
Median follow-up was 38 months (range 3-50). A successful outcome with no recurrent stricture as evidenced by normal retrograde urethrography and voiding history was achieved in 23 of 26 men (88%). Two patients had fistula in early postoperative period; one of them needed surgical closure.
Roofing urethroplasty is a practical alternative for repair of long anterior urethral stricture(s) when Monseur technique cannot be applied.
当蒙叙尔技术不适用时，治疗长段或多发前尿道狭窄。我们的技术是使用带蒂无毛阴茎皮肤对背侧切开的狭窄尿道进行扩大修补。
1991年6月至1996年5月，26例前尿道狭窄男性患者（中位年龄34岁）接受了尿道加盖成形术。9例患者为长段狭窄（平均3.2厘米），17例为多发短段狭窄（平均7厘米）。所有患者均已行包皮环切术，采用横向带蒂无毛阴茎皮瓣进行背侧尿道扩大修补。
中位随访时间为38个月（范围3 - 50个月）。26例男性患者中有23例（88%）取得成功，逆行尿道造影及排尿情况正常，无复发性狭窄。2例患者术后早期出现瘘管，其中1例需要手术闭合。
当无法应用蒙叙尔技术时，尿道加盖成形术是修复长段前尿道狭窄的一种实用替代方法。
