Endoscopic minimally invasive precision pull-through operation in the treatment of complex posterior urethral stricture or atresia after pelvic fracture
10.3969/j.issn.1009-8291.2024.07.001
- VernacularTitle:内镜下微创精准尿道拖入术治疗复杂性后尿道狭窄或闭锁("大家泌尿网"观看手术视频)
- Author:
Xinhua ZHANG
1
;
Feng GUO
;
Yan LI
Author Information
1. 武汉大学中南医院泌尿外科,湖北武汉 430071
- Keywords:
posterior urethral stricture;
pull-through operation;
minimally invasive;
precision;
ultrasonic scalpel
- From:
Journal of Modern Urology
2024;29(7):569-572
- CountryChina
- Language:Chinese
-
Abstract:
Pull-through operation is an effective procedure for the treatment of posterior urethral stricture and atresia.Traditional pull-through operation is often difficult to achieve the ideal outcomes due to factors such as major injury,imprecise end-to-end alignment and fixation.Our team has modified the traditional pull-through operation by applying ureteroscopy to perform precise end-to-end urethral alignment under direct vision without opening the bladder during the operation.Meanwhile,we use ultrasonic scalpel to reduce intraoperative bleeding and postoperative wound infection,improve the success rate of operation,reduce the recurrence rate of stenosis and the incidence of postoperative complications,and finally achieve the effects of minimally invasive and precision medicine.Furthermore,the shorter learning curve makes it a novel treatment of complex posterior urethral stricture or atresia after pelvic fracture.This paper describes in detail the specific steps of this procedure,analyzes the efficacy based on clinical data,and details the innovations and operation experience of it.
