Comparison of the curative effect of balloon dilation under ureteroscope and urethral incision with cold knife in the treatment of male posterior urethral stricture
10.3760/cma.j.issn.1008-6706.2020.11.006
- VernacularTitle:输尿管镜直视下球囊扩张术与尿道冷刀内切开术治疗男性后尿道狭窄的疗效比较
- Author:
Guojun XUE
1
Author Information
1. 山西省，晋城市人民医院泌尿外科 048000
- From:
Chinese Journal of Primary Medicine and Pharmacy
2020;27(11):1303-1306
- CountryChina
- Language:Chinese
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Abstract:
Objective:To compare the effect of balloon dilation under ureteroscope and cold knife incision in the treatment of male posterior urethral stricture.Methods:The clinical data of 115 patients with posterior urethral stricture admitted to the People's Hospital of Jincheng from 2012 to 2018 were retrospectively analyzed.They were divided into two groups depending on the surgical procedure.In the balloon group, 59 cases were treated with ureteroscopic balloon dilatation.In the cold knife group, 56 cases were treated with internal urethral cold knife incision.The operation time, postoperative hospitalization days, postoperative maximum urine flow rate, recurrence rate and reoperation rate were compared between the two groups.Results:There was no statistically significant difference in operation time and postoperative hospitalization day between the two groups(all P>0.05). The maximum urine flow rate at 3 months after surgery was (19.41±5.49)mL/s in the balloon group, which was significantly higher than that in the cold-knife group[(17.07±6.17)mL/s]( t=2.147, P<0.05). The recurrence rate and reoperation rate of the balloon group were 13.56%(8/59) and 8.47%(5/59), respectively, which were significantly lower than 32.14%(18/56) and 23.21%(13/56) of the cold knife group(χ 2=5.671, 4.728, all P<0.05). No significant surgical complications were observed in the two groups. Conclusion:Balloon dilation under ureteroscopy in the treatment of male posterior urethral stricture has obvious advantages compared with cold knife incision, and it is a better surgical method for the treatment of male posterior urethral stricture.
