软性膀胱镜联合双极等离子电切治疗复杂性后尿道狭窄及闭锁

Management of complex posterior urethral stricture using bipolar plasma-kinetic technique combined with flexible cystoscopy

目的：提高复杂性后尿道狭窄及闭锁腔内手术的安全性及有效性。方法：总结7例后尿道狭窄或闭锁患者应用软性膀胱镜联合双极等离子电切治疗的临床经验。结果：7例患者均一次性手术成功，无手术并发症发生。随访4～28个月，排尿通畅，无复发。结论：软性膀胱镜联合双极等离子电切能迅速正确切除狭窄瘢痕，恢复尿道正常连续性，降低术后复发率，是一种新的安全有效的微创技术。

Objective：To assess the efficacy and safety of endourethral surgery for complex posterior urethral stricture using bipolar plasma-kinetic technique combined with flexible cystoscopy. Methods： 7 patients suffering with posterior urethral stricture and occlusion because of pelvic fracture were treated by endourethral surgery, using plasma-kinetic energy system ,guided by flexible cystoscopy through cystic fistula. Results：All patients were succeeded in operation, and followed up 4 to 28 months. All patients have had normal urination without any surgery complications. Conclusions： Endoscopic operation with bipolar plasma-kinetic energy combined with flexible cystoscopy were believed efficacy and safety to be the first choice of treatment for complex posterior urethral stricture and occlusion.