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Male urethral strictures and their management

机译：男性尿道狭窄及其处理

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Male urethral stricture disease is prevalent and has a substantial impact on quality of life and health-care costs. Management of urethral strictures is complex and depends on the characteristics of the stricture. Data show that there is no difference between urethral dilation and internal urethrotomy in terms of long-term outcomes; success rates range widely from 8-80%, with long-term success rates of 20-30%. For both of these procedures, the risk of recurrence is greater for men with longer strictures, penile urethral strictures, multiple strictures, presence of infection, or history of prior procedures. Analysis has shown that repeated use of urethrotomy is not clinically effective or cost-effective in these patients. Long-term success rates are higher for surgical reconstruction with urethroplasty, with most studies showing success rates of 85-90%. Many techniques have been utilized for urethroplasty, depending on the location, length, and character of the stricture. Successful management of urethral strictures requires detailed knowledge of anatomy, pathophysiology, proper patient selection, and reconstructive techniques.
机译：男性尿道狭窄疾病很普遍，并且对生活质量和医疗费用产生重大影响。尿道狭窄的处理很复杂，并取决于狭窄的特征。数据显示，就长期结局而言，尿道扩张术与内部尿道切开术之间没有差异。成功率范围从8-80％，长期成功率在20-30％。对于这两种方法，狭窄时间较长，阴茎尿道狭窄，多处狭窄，存在感染或有既往手术史的男性复发风险更高。分析表明，在这些患者中重复使用尿道切开术在临床上既无效也不划算。尿道成形术手术重建的长期成功率更高，大多数研究表明成功率在85-90％之间。根据狭窄部位，长度和特点，许多技术已用于尿道成形术。成功治疗尿道狭窄需要详细的解剖学，病理生理学，适当的患者选择和重建技术的知识。

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