...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>BJU international >Substitution urethroplasty for anterior urethral strictures: a critical appraisal of various techniques.
【24h】

Substitution urethroplasty for anterior urethral strictures: a critical appraisal of various techniques.

机译：尿道置换术治疗前尿道狭窄：对各种技术的严格评估。

获取原文
获取原文并翻译 | 示例
   

获取外文期刊封面封底 >>

       
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

OBJECTIVE: To retrospectively compare the outcome of various techniques of substitution urethroplasty. PATIENTS AND METHODS: Between 1989 and 2000, 109 patients (mean age 39.5 years) underwent substitution urethroplasty for recurrent anterior urethral strictures. Between 1989 and 1995 the procedure was by ventral placement of free grafts (bladder mucosa, buccal mucosa, penile skin) or penile skin flaps. From 1995 onwards the flaps and grafts (buccal mucosa) were applied either ventrally or dorsally. Stricture recurrence and the complications associated with each technique were compared. RESULTS: Ventral onlay repairs were associated with a higher incidence of complications than dorsal repairs, e.g. postvoid dribbling (39% vs 23%, P = 0.01), ejaculatory dysfunction (20% vs 5%, P = 0.03) and flap/graft pseudo-diverticulum or out-pouching (26% vs 2.6%, P = 0.01). Superficial penile skin necrosis was significantly more common with the use of penile skin flaps than with free grafts. There was no significantdifference in stricture recurrence, erectile dysfunction and residual penile deformity among the various techniques. CONCLUSIONS: Dorsal free graft/flap onlay urethroplasty gives better results than ventrally placed free grafts/flaps. Dorsal onlay buccal mucosal urethroplasty is a versatile procedure and associated with fewer complications than other substitution methods.
机译：目的：回顾性比较各种替代尿道置换术的结果。患者与方法：1989年至2000年，有109例患者（平均年龄39.5岁）接受了尿道置换术治疗复发性前尿道狭窄。在1989年至1995年之间，该过程通过腹侧放置游离移植物（膀胱粘膜，颊粘膜，阴茎皮肤）或阴茎皮瓣进行。从1995年开始，皮瓣和移植物（颊粘膜）被腹侧或背侧应用。比较了严格的复发率和与每种技术相关的并发症。结果：与背侧修复相比，腹侧上皮修复与并发症发生率更高。排尿后运球（39％vs 23％，P = 0.01），射精功能障碍（20％vs 5％，P = 0.03）和皮瓣/移植物假憩室或袋装（26％vs 2.6％，P = 0.01）。使用阴茎皮瓣比使用游离移植物更明显地浅表阴茎皮肤坏死。在各种技术之间，狭窄复发，勃起功能障碍和残留的阴茎畸形没有显着差异。结论：背侧游离移植物/皮瓣覆盖尿道成形术比腹侧放置游离移植物/皮瓣具有更好的效果。背侧颊黏膜尿道成形术是一种通用的方法，与其他替代方法相比，并发症少。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号