Traitement endoscopique des sténoses de l'urètre

W. Oosterlinck, N. Lumen
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引用次数: 8

Abstract

The present article reviews the literature regarding the endoscopic treatment of urethral strictures. Only few prospective randomised clinical trials with sufficient power have been performed and most of the literature provides evidence of only level 3 and 4. Since length, location, extent and calibre of the urethral stricture have an important impact on prognosis, diagnosis and the role of ultrasonography are discussed. Pathophysiology of wound healing is discussed in relation to urethrotomy, as it explains the outcomes of the procedure. Operative techniques using cold knife and laser, use of endoprostheses, indications, complications, results and postoperative management are described. The possible role of urethral catheters, hydraulic dilatations and corticosteroid applications are discussed.

尿道狭窄的内镜治疗
本文综述了有关内窥镜治疗尿道狭窄的文献。只有少数具有足够效力的前瞻性随机临床试验已经进行,大多数文献只提供了3级和4级的证据。由于尿道狭窄的长度、位置、范围和口径对预后有重要影响,本文讨论了超声检查的诊断和作用。伤口愈合的病理生理学讨论有关尿道切开术,因为它解释了结果的程序。本文介绍了冷刀和激光的手术技术、人工假体的使用、适应证、并发症、结果和术后处理。讨论了导尿管、水力扩张和皮质类固醇应用的可能作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Annales D Urologie
Annales D Urologie 医学-泌尿学与肾脏学
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