内镜辅助置导尿管治疗尿道球部断裂的疗效观察

Endoscopic-assisted Foley Catheterization for Bulbous Urethral Injury

目的：探讨内镜辅助下置管治疗尿道球部断裂的治疗方法与效果。方法回顾性分析2004年7月～2012年9月内镜辅助下置管治疗尿道球部断裂19例的临床资料。结果19例全部手术治疗成功，术后留置导尿管4～8周，拔除导尿管后均能通畅排尿，定期行尿道扩张4次后，随访6～12个月，最大尿流率均＞15 ml/s，无尿道狭窄、尿失禁等发生，勃起功能较术前无明显下降。结论内镜辅助下尿道置管术是一种治疗尿道球部断裂损伤的有效选择。

Objective To evaluate the clinical methods and results of endoscopic-assisted catheterization in the treatment of bulbous urethral injury . Methods The clinical data of 19 cases of bulbous urethral injury from July 2004 to September 2012 managed by ureteroscopic catheterization were retrospectively analyzed . Results The procedures were successfully completed in all the 19 cases.Foley catheters were removed in 4-8 weeks after the surgery and all cases had unobstructed ureter after the removal of the catheter.Urethral dilatation was done regularly for 4 times and all the cases were followed up for 6-12 months afterwards.The follow-up showed urinary flow rate was more than 15 ml/s, and no urethral stricture , urinary incontinence or other complications occurred.Erection of penis was not obviously affected compared with preoperative condition . Conclusion Endoscopic-assisted catheterization is effective in the treatment of bulbous urethral injury .