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外伤性前,后尿道严重狭窄以及狭窄段较长或闭锁,目前治疗仍有一定困难。1986年3月笔者对1例严重外伤性前、后尿道狭窄、闭塞长达12cm患者。行经会阴、包皮内板皮管尿道套入成形术。效果满意,报道如下。患者,男,46岁。1984年7月因骨盆骨折、尿道断裂,膀胱造瘘。同年10月经会阴切开行尿道吻合术,术后排尿不畅,阴茎弯曲,不能性生活反复行尿道扩张。造影可见假道和尿道狭窄。曾4次行尿道内切开术均失败。尿道造影见狭窄段由前尿道至内口约12cm完全闭塞。1986年3月1日在硬膜外麻醉下经会阴切开、切除狭窄段瘢痕。从近冠
Traumatic anterior and posterior urethral stricture and stenosis longer or atresia, the current treatment is still some difficulties. In 1986 March the author of a serious traumatic injury before and after the urethral stricture, occlusion up to 12cm patients. Pass through the perineum, foreskin, foreskin, urethral sleeve into the plastic surgery. Satisfactory results are reported below. Patient, male, 46 years old. July 1984 due to pelvic fractures, urethral rupture, bladder fistula. In October the same year by the perineal incision urethral anastomosis, poor urination postoperatively, penile curvature, can not sexual life repeated urethral dilatation. Contrast visible false and urethral stricture. Had 4 times underwent endotracheal incision failed. Urethra angiography see the narrow section from the anterior urethra to the internal mouth about 12cm completely occluded. March 1, 1986 under epidural anesthesia by the perineal incision, resection of the scar scar. From near the crown