首页> 美国卫生研究院文献>Annals of The Royal College of Surgeons of England >Meatal strictures after transurethral prostatectomy using latex or polyvinyl chloride three-way catheters.
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Meatal strictures after transurethral prostatectomy using latex or polyvinyl chloride three-way catheters.

机译:经乳腺或聚氯乙烯三通导管经尿道前列腺切除术后的肉狭窄。

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摘要

Because latex rubber catheters have been implicated in urethral stricture formation, the incidence of urethral strictures following transurethral prostatectomy (TUP) and subsequent catheterisation with latex rubber or polyvinyl chloride catheters was compared. A total of 84 patients with benign prostatic hyperplasia (n = 71) or prostatic carcinoma (n = 13) underwent assessment of urethral diameter and subsequent internal urethrotomy prior to TUP. Following resection, 42 patients received three-way self-retaining latex rubber catheters and 42 received similar catheters made of PVC. Catheters were removed when the urine was clear (mean time = 3 days), and no patient required recatheterisation. Urinary flow was assessed in all patients at 6, 12 and 24 weeks after surgery, and diminution of flow with submeatal stricture formation was noted in one patient who had received a latex rubber catheter, and in one who had received a PVC catheter. In this study, the composition of the catheter had no bearing on subsequent stricture formation following TUP.
机译:由于乳胶橡胶导管与尿道狭窄的形成有关,因此比较了经尿道前列腺切除术(TUP)和随后用乳胶橡胶或聚氯乙烯导管进行尿道狭窄的发生率。总共84例良性前列腺增生(n = 71)或前列腺癌(n = 13)患者在TUP之前接受了尿道直径和随后的内部尿道切开术的评估。切除后,42例患者接受了三向自固定乳胶橡胶导管,42例接受了类似的PVC导管。当尿液清澈时(平均时间= 3天),并且没有患者需要进行复查术时,将导管移除。在手术后第6、12和24周对所有患者的尿流进行了评估,并且在接受乳胶橡胶导管的患者和接受PVC导管的患者中,血流减少并伴有面膜下狭窄。在这项研究中,导管的组成与TUP之后的狭窄形成无关。

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