ABSTRACT
Objective To study the clinical efficacy and operative skill of multi-endoscopic technique in treatment of post-traumatic urethrostenosis in male patients.Methods A retrospective analysis was done on clinical data of 47 male patients with post-traumatic urethrostenosis treated with direct visional incision urethrotomy combined with transurethral resection of scar tissue and ureteroscopic incision.There were 29 patients with anterior urethral strictures and 18 with posterior urethral strictures.Results Of all,43 patients underwent successful endoscopic surgeries at the first time but one underwent secondary surgery because of unsuccessful endoscopic incision.These patients achieved satisfactory results without urinary incontinence,fistula or reoperation.The left three patients underwent open surgeries because of unsuccessful endoscopic incision,in which one patient could micturate at maximal flow rate of 9-12 ml/s,without therapeutic urethral dilation,one could micturate under regular therapeutic dilation and the other one could not micturate.Conclusions With the advantages of safety,high success rate and good long-term efficiency,multi-endoscopic technique can be used as an initial treatment for male patients with post-traumatic urethrostenosis and is worthy to be popularized.
ABSTRACT
Objective:To discuss the operative procedure and clinical therapeutic efficacy of urethrostenosis treatment by ureteroscope combined with self-made urethral sound.Methods:4F ureteral catheter or Teflon paintcoat guidewire was passed through narrow section to bladder.the self-made,midheaven and ringent anterior urethral sound was inserted into by the ureteral catheter or Teflon paintcoat guidewire to expand that 14F ureteral catheter for drainge under F9.8 ureteroscope and sacral anesthesia.Results:All cases could be detained with 22F ureteral catheter and voided well afert 1 month of treatmeat,no relapse cases were observed after 1year follow-up.Conclusion:It is an micro-traumatic,quick healing with shorter hospitalization and effective method to treat urethrostenosis by ureteroscope combined with urethral sound.
ABSTRACT
Therapeutic effects of intracavitary irradiation and excision treating 8 patients with prostatic hyperplasia accompanied by serious urethrostenosis the body and bulb of penis in the past 6 years were retrospectively reviewed. It was found that laser irradiation and cut for the treatment of unethrostenosis were a safe and simple therapeutic technique, which was easy to handle and reliable in efficacy.