The Nontransecting Approach to Bulbar Urethroplasty
The Nontransecting Approach to Bulbar Urethroplasty
复制标题
DOI：
10.1016/j.ucl.2016.08.012
复制
发表时间：
2017-02-01
影响因子：
2.4
通讯作者：
Mundy, Anthony R.
中科院分区：
文献类型：
--
作者：
Ivaz, Stella;Bugeja, Simon;Mundy, Anthony R.
适当长度的球部尿道狭窄的标准治疗是切除和一期吻合术（EPA），无论狭窄的原因如何。这涉及海绵体（CS）的横断和CS内血流的中断。EPA治疗这些狭窄的成功率非常高，但有相当多的证据和观点表明，由于CS的横断，存在性功能障碍的显著风险，并可能发生其他不良后果。
The standard treatment of bulbar urethral strictures of appropriate length is excision and primary anastomosis (EPA), irrespective of the cause of the stricture. This involves transection of the corpus spongiosum (CS) and disruption of the blood flow within the CS as a consequence. The success rate of EPA in curing these strictures is very high, but there is a considerable body of evidence and of opinion to suggest that there is a significant risk of sexual dysfunction and, potentially, of other adverse consequences that occur because of transection of the CS.