前列腺术后并发尿道狭窄的DVIU治疗

目的：探讨前列腺术后患并发尿道狭窄的治疗方法。方法：１９８８￣１９９８年对２５例前列腺术后并发尿道狭窄患者在直视下行尿道内切开术（ＤＶＩＵ），其中１９８８￣１９９０年收治９例行狭窄段１２、４、８点放射状切开，１９９１￣１９９８年收治的１６例按照狭窄部位行不同点位的内切开。结果：１９８８￣１９９０收治的９例术后出现不同程度的并发症，１９９１￣１９９８年收治的１６例手术效果满意，并发症明显降低。结论：

Direct vision internal urethrotomy on urethral stictur after prostatectomy

Purpose:To study the treatment methods of urethral stricture after prostatectomy.Methods:From Jan 1988 to Feb 1998,we operated on 25 patients by DVIU.At the beginning we cut the stricture at 4,8,12 clock to all 9 cases.After 1991,we selected different clock according to the site of stricture.Results:The first 9 cases usually complicated with uroclepsia.After 1991,we changed the method of operation and acquired better effects than before.The ceomplication was distinctly reduced.Conclusins:To the urethral stricture after prostatectomy,the site of cuts should be determined by the position,the length,the cicatrix and the deep of the stricture.It should be also considered to the function of urethra after prostatectomy.