尿道狭窄的诊断与治疗

目的总结尿道狭窄的诊断与治疗体会，提高尿道狭窄的诊治水平。方法本组有61例尿道狭窄患者，其中前尿道狭窄18例，后尿道狭窄43例，发病原因：外伤性46例，炎症性6例，医源性9例。有34例行开放手术治疗，27例行腔内手术治疗。结果行开放手术的34例中术后排尿通畅者31例，排尿困难或不能排尿者3例，发生并发症4例；行腔内手术的27例中术后排尿通畅26例，排尿困难1例，无并发症发生。结论对尿道狭窄的治疗，开放和腔内手术效果均好，但腔内手术创伤小、成功率高、并发症少，应作为首选。

Diagnosis and treatment of urethral stricture

Objective To evaluate the management and diagnosis of urethral stricture. Methods 61 patients treated in our hospital were included in this retrospective study, of these cases, 18 cases were in anterior urethra and 43 in posterior part .Based on etiology,46 were from trauma,6 from infection and 9 from idiopathic causes. Open surgery was performed on 34 cases and endoscopic therapy on 27 cases. Results 31 of 34 cases of Open surgery was normal urination,4 Patients had complications. 26 cases of Endoscopic surgery with normal urination without complications.3 cases with open surgery and 1 cases with endoscopy resulted in postoperative dysuria or anuria. Conclusion Good result can be achieved by both open and endoscopic surgery in urethral stricture. But, endoscopic procedure is the best choice because of it is safe, effective and less invasive..