经尿道冷刀加电切治疗尿道会师与前列腺摘除术后尿道狭窄

目的 治疗尿道会师与前列腺摘除术后尿道狭窄。方法 经尿道采用冷刀瘢痕内切开加电切刮除瘢痕瓣,使狭窄部位形成一平滑而宽畅的尿流通道。结果 患者23例,狭窄部位分别为膜部、球膜部及膀胱颈部、长度为0.6～2.0cm,术后18例能顺利排尿,4例仍有排尿困难,经尿道扩张后逐渐排尿顺利,轻度尿无禁2例,1～2个月后症状消失。结论 该方法瘢痕切除充分,成功率高。切除时应注意正确引导,掌握冷切与电切的方向、深度与范围,以减少并发症的发生。

Treating urethrostenosls after uretnral reunion operation and prostatictomy by transurethral cicatrictomy and electrotomy

Objection: treating urethrostenosis after urethral reunion operation and prostatictomy. Method: transurethral cicatrictomy and resection with Sachse' s knife and electrotomy in order to make a smooth and wider pathway at the stricture position for normal micturation. Result: in 23 cases, the urethrostenosis were in membranous urethra,bulbo - mambranous urethra and vesical cervix.The length of stricture were 0.6 - 2.0 cm. 18 cases could mictturate normally after transurethral operation. 4 cases had disuria that disappeared after several times of urethral dilation. 2 cases had slight incontinence of urine that disappeared 2 monthes later. Conclusion: this method can resect the cicar at the position of urethrostenosis succesfully,but the exact introduction of the direction, depenth and rage of resection should be noticed in order to decreasing the complifications.