尿道下裂成形术后尿瘘的修补术改进

目的 探讨通过改进手术方法、手术技巧、尿道支架引流等方式,提高尿道下裂成形术后尿瘘修补的成功率.方法 分析、总结11例尿道下裂成形术及感染后20个瘘口患者的临床资料,小瘘口(直径小于3mm)17例、其中大瘘口(直径大于3 mm)3例.年龄4～42岁,平均15岁,其中瘘口位于冠状沟处3例,阴茎体部14例,阴茎阴囊交界处3例,采用改进补方法.结果 19个瘘口一次修复成功,一次修补成功率达95%.有1例术后发生漏尿,但瘘口比术前缩小.随访3个月-2年,均排尿正常,尿线有力,阴茎外观满意.结论 采用改进修补术,用于治疗尿瘘修复,操作简单,疗效确切.

Improvement about repair of urinary fistula postneoplasty

Objectives Through improved surgical procedures, techniques and urethral stent drainage,to improve the success rate of repair of urinary fistula postneoplasty. Methods Analysis the clinical data of 20 patients postneoplasty which are caused by infection. Small fistula ( diameter less than 3mm) are 17 cases and large fistula ( diameter greater than 3 mm) are 3 cases respectively. Age is from 4 to 42 years, an average of 15 years. 3 casea of fistula in the coronary sulcus, 14 cases of fistula in the penile body and 3 cases of fistula at the junction of penis and scrotum. A improved method was used. Results 19 cases of urina fistula are successfully repaired at the first operation, the repair success rate is 95%. Urine leakage postoperative was only found in 1 case , and the fistula was reduced compared with the former surgery. Followed up for 3 months to 2 years,all patients have normal urina tion , powerful urine and good appearance of penis. Conclusions The improvement about of urinary fistula postneoplasty was simple and effective.