TREATMENT OF MALE URETHRAL STRICTURES: IS REPEATED DILATION OR INTERNAL URETHROTOMY USEFUL?

作者: C.F. HEYNS , J.W. STEENKAMP , M.L.S. DE KOCK , P. WHITAKER

DOI: 10.1016/S0022-5347(01)62894-5

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摘要: AbstractPurpose: We evaluate the efficacy of repeated dilation or urethrotomy as treatment male urethral strictures.Materials and Methods: Between January 1991 1994, 210 men with proved strictures were prospectively randomized to undergo filiform (106) internal (104). Followup was scheduled at 3, 6, 9, 12, 24, 36 48 months. Dilation first second stricture recurrence. The Kaplan-Meier method used estimate survivor function for methods (survival time being recurrence) log rank test compare different treatments.Results: (mean 24 months, range 2 63) available in 163 patients (78%). After a single not followed by re-stricturing 3 estimated stricture-free rate 55 60% months 50 recurrenc...

参考文章(30)
J. Vicente, J. Salvador, J Caffaratti, Endoscopic Urethrotomy versus Urethrotomy plus Nd-YAG Laser in the Treatment of Urethral Stricture European Urology. ,vol. 18, pp. 166- 168 ,(1990) , 10.1159/000463901
Anders Bødker, Paul Ostri, Jesper Rye-Andersen, Lisbeth Edvardsen, Jan Struckmann, Treatment of recurrent urethral stricture by internal urethrotomy and intermittent self-catheterization: a controlled study of a new therapy. The Journal of Urology. ,vol. 148, pp. 308- 310 ,(1992) , 10.1016/S0022-5347(17)36580-1
E. Hradec, L. Jarolím, R. Petřík, Optical internal urethrotomy for strictures of the male urethra. Effect of local steroid injection. European Urology. ,vol. 7, pp. 165- 168 ,(1981) , 10.1159/000473209
Thomas J. Stormont, Vera J. Suman, Joseph E. Oesterling, Newly Diagnosed Bulbar Urethral Strictures: Etiology and Outcome of Various Treatments The Journal of Urology. ,vol. 150, pp. 1725- 1728 ,(1993) , 10.1016/S0022-5347(17)35879-2
De Kock M.L.S., F J Allen, Guidelines for the treatment of urethral strictures. South African Journal of Surgery. ,vol. 27, pp. 182- ,(1989)
A Kaushansky, M Elian, E Elian, Late results of optical urethrotomy. Journal of the Royal Society of Medicine. ,vol. 77, pp. 529- 529 ,(1984)
P J B Smith, A V Kaisary, A J Ball, Late Results of Optical Urethrotomy Journal of the Royal Society of Medicine. ,vol. 77, pp. 105- 107 ,(1984) , 10.1177/014107688407700206
Raymond B. Andronaco, Roger S. Warner, Marc S. Cohen, Optical urethrotomy as ambulatory procedure Urology. ,vol. 24, pp. 268- 270 ,(1984) , 10.1016/0090-4295(84)90357-1
A. Abdel-Hakim, J. Bernstein, M. Hassouna, M.M. Elhilali, Visual internal urethrotomy in management or urethral strictures Urology. ,vol. 22, pp. 43- 45 ,(1983) , 10.1016/0090-4295(83)90344-8
Keijo K. Pitkämäki, Teuvo L. J. Tammela, Matti J. Kontturi, Recurrence of Urethral Stricture and Late Results After Optical Urethrotomy: Comparison of Strictures Caused by Toxic Latex Catheters and Other Causes Scandinavian Journal of Urology and Nephrology. ,vol. 26, pp. 327- 331 ,(1992) , 10.3109/00365599209181221