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目的探讨各种尿道假道的外科治疗方法及疗效。方法回顾总结32例男性尿道假道患者(年龄15～58岁,平均32岁)的外科治疗资料。3例为行膀胱镜检查致尿道假道2,例为人为插入金属异物致尿道假道,6例为导尿使用金属探条致尿道假道2,1例为尿道狭窄行尿道扩张致尿道假道,术前均行尿道造影和输尿管镜尿道检查。10例行腔镜手术(假道长度<2cm)2,2例行开放手术(假道长度>2cm)。术后随访12～48个月,平均36.6个月。结果 26例排尿满意,无尿失禁及排尿困难,术后需定期行尿道扩张5例1,例因排尿困难再次手术。结论尿道假道多因对尿道狭窄盲目行尿道扩张所致,可引起患者明显的排尿困难,对于长度较短的假道(<2cm)可采用腔镜手术充分切开假道,对于较长的假道(>2cm),建议采用开放手术,分离找到真道后重新吻合以恢复患者的正常排尿。
Objective To investigate the surgical treatment of various urethra and its curative effect. Methods The surgical treatment data of 32 male urethral prostheses (aged 15-58 years, average 32 years) were retrospectively reviewed. 3 cases of cystoscopy caused by urethral false passage 2, the case of artificial urethral metal prosthesis for the insertion of foreign bodies, 6 cases of urethral catheterization caused by metallic probe 2,1 cases of urethral stricture urethral dilatation urethra Road, preoperative urethroplasty and ureteroscopy urethra examination. 10 cases underwent laparoscopic surgery (the length of the fistus <2 cm) and 2, 2 open procedures (fake length> 2 cm). The patients were followed up for 12 to 48 months with an average of 36.6 months. Results 26 cases of urination satisfied, no incontinence and dysuria, postoperative urethral dilation should be carried out regularly in 5 cases 1, such as re-operation due to dysuria. Conclusions Urethral prosthesis mostly caused by blind urethral dilation of urethral stricture can cause obvious dysuria in patients. For shorter length of prosthesis (<2cm), endoscopic surgery can be used to cut the false path sufficiently. For longer False (> 2cm), it is recommended to use open surgery, separation to find truth and re-match to restore the patient’s normal urination.