복잡성 후부요도협착의 교정을 위한 요도성형술에서 음경해면체절개 및 치골부분절제의 의의
Clinical Significance of Corporeal Body Separation and Inferior Pubectomy in Complex Posterior Urethral Strictures
이경석, 정문기, 최재수,
소속 상세정보
이경석 ( )
부산대학교
정문기 ( )
부산대학교
최재수 ( )
부산대학교
KMID : 0358319930340010130
Abstract
A total of fifty three patients with posterior urethral strictures followed by pelvic bone fracture were managed by one-stage perineal repair at Pusan National University from Jan. 1985. to Jun. 1992. End-to-end anastomosis was performed in all
cases,
but other procedures were added to accomplish tension-free anastomosis in 34 cases. These techniques. which included distal urethral mobilization, corporeal body separation and inferior pubectomy were performed in a progressive manner as needed.
Excellent results were achieved and success rate was 97.8% of all cases. And we evaluate complications after such progressive maneuvers and the relationship between type of posterior urethral injury based on urethrography, the types of surgical
procedure and the types of pelvic bone fractures. Additional procedure were attributed to severe initial type IV urethral injury, unstable pelvic bone fractue and complex urethral stricture. In spite of performing additional procedures. the
incidence of
impotence, restrictue and incontinence made no differences. Therefore, separation of corporeal bodies and inferior pubectomy are safe and efficient method to treat nearly almost cases of urethral strictures including complex urethral strictures.
키워드
원문 및 링크아웃 정보
등재저널 정보