尿道狭窄の手術摘療法 : III報後部尿道形成術の知見補遺

概要

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We have performed 20 urethroplastics for posterior urethral strictures between April 1966 and November 1977. 1) There was no danger of urethral necrosis in our pull through method, even if the urethra was mobilized up to the penoscrotal angle. 2) Urethrogram does not always reveal the true length of the urethral defect, because contraction. of the corpus spongiosum makes a longer defect on X-ray than the true defect. 3) The limit of pull through method based on urethrogram was longer than 6 cm of urethral defect in the first operation and longer than 5 cm in the reoperation. 4) Every effort must be made to avoid impairing the bladder neck, because preservation of bladder neck is only way to be continent of urine in posterior urethral injury. 5) Suprapubic cystostomy should be performed in the patient with pelvic fracture as first aid and urethroplasty should be done as a secondary operation.
社団法人日本泌尿器科学会の論文
1978-07-15