요도협착증의 내시경하 요도내절개술
Endoscopic Internal Urethrotomy in the Management of Urethral Strictures
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정연구/Chung YK
이성준/Lee SC
KMID : 0358319850260060677
Abstract
Endoscopic internal urethrotomy was done on 25 patients with urethral strictures. Of these patients 24 have been followed for 3 to 22 months.
Satisfactory results were obtained in 56 per cent of the patients. The overall morbidity rate was 18 per cent, but potency was not endangered. Patients with long and multiple strictures caused by trauma had unstatisfactory results, while the duration of catheterization did not affect the results. Most recurrent strictures manifested themselves within 3 months.
Despite these less successful results endoscopic internal urethrotomy, which is usually performed at hand, should be tried as a primary procedure except for complete ruptures or destruction of segments of the urethra, in which cases open reconstructive perineal urethroplasty is our procedure of choice.
키워드
요도내절개술; 직시하; 요도협착; internal urethrotomy; urethral stricture
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