利用皮瓣的1期尿道成形术。

  • 简介
  • 讲座
  • 论文
  • 常见问题
  • 临床成果
  • 外科操作技巧
“1期皮肤移植或口腔黏膜移植物尿道成形术”是在狭窄的位置切开尿道，应用皮肤或者口腔黏膜来扩大尿道内径，基本分为以下三种类型：

  • 1期皮瓣尿道成形术
  • 1期口腔黏膜移植尿道成形术
  • 1期皮肤移植尿道成形术

“1期皮肤移植或口腔黏膜移植物尿道成形术”适用于以下人群：

  • 非闭锁性的尿道狭窄，狭窄长度超过2cm(图3)
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图 1
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图 2
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图 3
讲座 1:

Which type of urethroplasty – a critical overview of results and complications
22nd Annual EAU Congress
March 21-24, 2007
Berlin – Germany
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讲座 2:
Which type of urethroplasty. A critical overview of results and complications
23rd Annual EAU Congress
ESU Course 8
March 26-29, 2008
Milan – Italy 		Download PDF
讲座 3:
Penile Urethroplasty
III Simposio Internacional de Cirurgia Urologica Reconstrutora
April 11-12, 2008
Rio de Janeiro-Brazil 		Download PDF
讲座 4:
Urethral Reconstructive Surgery: Current Trends
Portuguese Andrological Association National Meeting
June 21 – 23, 2008
Porto – Portugal 		Download PDF
讲座 5:
Penile and bulbar urethroplasty Surgical techniques and results
Hong Kong Urological Association Urethroplasty Workshop Division of Urology – Tuen Mun Hospital
Hong Kong
February 9 – 10, 2009 		Download PDF

论文 1
Guido Barbagli, Giuseppe Morgia and Massimo Lazzeri
Retrospective outcome analysis of one-stage penile urethroplasty using a flap or graft in a homogeneous series of patients
B J Urol Int, 2008: 102, 853-860

Patients and Methods: Sixty-three patients had a penile urethroplasty using one-stage techniques; 18 (29%) had a one-stage flap urethroplasty and 45 (71%) a one-stage urethroplasty using skin (23) or oral mucosal (22) grafts. The clinical outcome was considered a failure when any instrumentation was needed after surgery.
Results: The mean follow-up was 55 months; of the 63 procedures, 48 (76%) were successful and 15 (24%) failures. Of 18 patients who had a one-stage flap urethroplasty, 12 (67%) were successful and six (33%) were failures; of the 45 who had one-stage graft urethroplasty, 36 (80%) were successful and nine (20%) were failures; of 23 penile skin grafts, 18 (78%) were successful and five (22%) were failures; and of 22 oral mucosal grafts, 18 (82%) were successful and four (18%) were failures.
Conclusions: The use of grafts for one-stage penile urethroplasty gave a higher success rate (80%) than flaps (67%). The difference in the success rate between oral mucosal grafts (82%) and skin grafts (78%) was not clinically significant.
1. 问: 此项手术使用什么麻醉方式？
答: 经口气管插管的全身麻醉。

2. 问: 手术时间多长？
答: 约2小时。

3. 问: 手术后是否有勃起、生育问题或者尿失禁的风险？
答: 没有。

4. 问: 手术后住院时间是多长？
答: 一般来讲，5到7天

5. 问: 术后多长时间可以拔除尿管？使用尿管是否很痛？
答: 至少保留至术后2至3周。尿管管径很小，因此很容易耐受。

6. 问: 恢复期有什么特别需要注意的问题么？
答: 在恢复期，抗生素的使用一般持续到尿管拔除以后。同时，长途坐车旅行，重体力劳动、性生活以及运动是暂时需要避免的。

7. 问: 术后什么时候可以恢复工作、性生活以及运动？
答: 在拔除尿管的一个月后，根据情况逐步恢复即可。

8. 问: 手术以后是否可以立即骑自行车或摩托车？
答: 可以。

9. 问: 术后饮食需要注意些什么？
答: 避免啤酒以及烈性酒精饮品，巧克力，可可，坚果和贝类不要多吃。
截止至2021年12月31日
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总结表