Non-transecting anastomotic bulbar urethroplasty: a preliminary report
Non-transecting anastomotic bulbar urethroplasty: a preliminary report
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DOI：
10.1111/j.1464-410x.2011.10508.x
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发表时间：
2012-04-01
影响因子：
4.5
通讯作者：
Mundy, Anthony R.
中科院分区：
文献类型：
--
作者：
Andrich, Daniela E.;Mundy, Anthony R.
目的 报告早期尿道球部狭窄切除及端端吻合修复新方法的经验。 患者及方法 共有22例患者采用不横断海绵体的技术，进行近端尿道球部狭窄切除端端吻合术，以保持其血运完整。 随访范围： 6-21 个月，16 名患者 随访时间 >= 1 年。结果在 1 年随访时，16 名患者的症状评估或尿流率测定没有证据表明复发性狭窄。尿道造影显示 1 名患者的尿道口径为正常值的 80%。其余 15 个管径正常或大于正常。 结论 采用非横断吻合尿道球部成形术技术似乎能提供与传统吻合尿道成形术一样好的结果，且手术创伤较小。
OBJECTIVETo report our early experience with a novel approach to the excision and end-to-end anastomotic repair of bulbar urethral strictures.PATIENTS AND METHODSA total of 22 patients underwent excision and end-to-end anastomosis of a proximal bulbar urethral stricture using a technique in which the corpus spongiosum is not transected, so as to maintain its blood supply intact.The range of follow-up was 6-21 months and for 16 patients the follow up was >= 1year.RESULTSAt 1 year of follow-up there was no evidence of a recurrent stricture on symptomatic assessment or uroflowmetry in the 16 patients.On urethrography one patient has a urethral calibre 80% of normal. In the other 15 the calibre is normal or greater than normal.CONCLUSIONThe non-transecting anastomotic bulbar urethroplasty technique used appears to give results that are as good as those of traditional anastomotic urethroplasty with less surgical trauma.