尿道外口

留置气囊导尿管后胶布外固定对尿道外口细菌生长的临床观察

The Clinical Observation of Bacterium Growth on the External Urethral Orifice

结论：对留置气囊导尿管后给与胶布外固定，可有效减少尿道外口细菌生长，预防尿路感染。

Conclusion : The aerocyst-urethral catheter fixed by adhesive tape can reduce the growth of bacterium on the external urethral orifice and prevent urinary tract infection .

感染性尿道外口严重狭窄3例；

Patients had severe meatal stenosis as a result of infection ;

尿道外口成形术治疗女性尿道综合征&附40例报告

External urethroplasty for female urethral syndrome & 40 cases of report

1例术后3月出现尿道外口狭窄，经尿道扩张治愈。

Case with urethral meatus stricture was cured by dilatation .

尿道外口狭窄14例，反复尿扩后症状消失；

Urethral stenosis in14 cases , repeated urinary symptoms disappeared after the expansion .

女性尿道外口成形术59例报告

Female Meatoplasty : Report of 59 Cases

术后随访12～48个月，无1例出现尿道外口狭窄。

42 patients were followed up for 12 to 48 months . No meatal stenosis occurred .

结果：经尿道外口逆行进入和尿道再造材料携带的细菌是再造尿道感染的来源。

Results : The bacteria in the neo-urethra come from urethra orifice and material for urethra reconstruction .

尿道外口；

External Orifice of Urethra ;

2例尿道外口狭窄者定期尿道扩张1个月，排尿顺畅。

The voiding function recovered well in 2 patients with urethral stricture after periodic dilatation of the urethra .

结果术后发生尿瘘19例，尿道外口狭窄1例，总成功率90.2%。

Results There were 19 cases with uret hra fistula and 1 case with external orifice stricture of urethra .

结果所有3例患者均以龟头形态异常就诊，囊肿均位于尿道外口旁。

Result All3 cases had similar findings of abnormal glans shape , and the cysts were located in the parameatus .

前言：目的：减少留置气囊导尿管病人尿道外口细菌生长，预防尿路感染。

Objective : To reduce the growth of bacterium on the external urethral orifice and prevent urinary tract infection in cases with aerocyst-urethral catheter .

并处理尿道外口之新生物，使尿道末端和尿道外口直顺平滑。

To treat the neoplasm on the external orifice of urethra in order to make the urethra distal end and exterman orifice of urethra smooth .

钬激光组、开放组（尿道外口切开术）和电刀组治疗前尿道狭窄及闭锁病例较少，结果说服力较弱。

Because the cases of pro-urethral stricture and atresia treated with Holmium electrocautery and open operation is less , the effect of this group was weak .

结果结石位于尿道外口7例，结石位于膜部尿道16例，结石位于尿道内口6例，1例无尿道结石。

Results 7 cases in external orifice of urethra , 16 in urethroprostatic part , 6 in internal orifice of urethra , 1 had no calculus .

并发症发生率11.5%（7/61），其中尿瘘3例、尿道外口狭窄3例，尿道口退缩1例。

Incidence of complication was 11.5 % ( 7 / 61 ), including 3 cases of urinary fistula , 3 cases of urinary meatus stenosis and 1 case of urethral orifice retraction .

结果：9例耻骨上前列腺切除术病例中，膀胱颈梗阻6例，尿道外口狭窄、腺体残留和后尿道炎性粘连狭窄各1例；

ZResults : In 9 case of suprapubic prostatectomy , there were 6 complicated with bladder neck obstruction , and each 1 with urethral meatus stricture , residual gland and inflammatory stricture of posterior urethra .

对30例尿路刺激症患者采用0.1%～0.2%利凡诺湿纱布外敷尿道外口，结果显示：20例外敷4次后，症状消失，10例外敷6次后症状消失。

Patients with irritable symptoms of urinary tract were treated with 0.1 % ~ 0.2 % moist gauze of rivanolum , which were externally applied on the outlet of urethra . Symptoms disappeared in 20 cases after 4 times treatments and in 10 cases after 6 times treatments .

结论：V形皮瓣龟头成形术是一种防止尿道重建后尿道外口狭窄的有效方法。

CONLUSION : V-shape glans flap glanuloplasty is a good technique valuable to be used in complete reconstruction of the urethra with meatus at the tip of the penis .

主要开发症是尿道瘘和尿道外口狭窄。

The complicated urethra fistulas can mostly cured with indwelling cathelers .

尿道下裂术后尿道外口和吻合口狭窄的处理

Treatment of Urethral Strictures After Hypospadias Surgery

临床路径在女性尿道综合征病人尿道外口成形术中的推广应用

A Wide Application of Clinical Route Management Mode for Females with Urethral Syndrome after External Orifice Plastic Operation

目的在女性尿道综合征病人尿道外口成形术中推广应用新的管理模式&临床路径。

Objective To spread the application of clinical route-a new management mode for females with urethral syndrome after external orifice plastic operation .

目的分析经尿道等离子双极前列腺电切术（TUPKRP）后尿道外口狭窄产生的原因，并探讨相应的预防和治疗措施。

Objective To analyze the causes of external orifice stricture following TUPKRP , and to discuss how to prevent and treat it .

尿道狭窄8例，3例行尿道扩张术，3例行尿道内切开，1例行尿道外口成形术，1例行耻骨上膀胱造瘘术；

Patients developed urethral stricture , of these patients , 3 patients underwent urethral dilatation , 3 patients underwent internal urethrotomy , 1 patient underwent meatoplasty and 1 patient underwent suprapubic cystostomy .

结果12例中有尿道狭窄4例，其中膀胱颈口狭窄2例，膀胱颈后唇抬高1例，尿道外口狭窄1例；

Results 4 cases with urethrostenosis : 2 cases with stricture of the neck orifice of urinary bladder , 1 case with elevation of the neck posterior lip of urinary bladder , 1 case with stricture of the external orifice of urethra ;

方法对我院外科1990-01-2005-12间收治的79例后尿道损伤病人的治疗情况进行总结。结果后尿道损伤为不完全性损伤，能够顺利地经尿道外口插入导尿管，不必进行复杂的手术；

Methods The posterior urethral injury was incomplete trauma that could be placed urethral catheter through out let without complex operation .

结论：尿道下裂尿道成形术后尿道狭窄发生的主要原因是成形尿道皮瓣的设计不合理、血供差、感染、原尿道外口狭窄或发育不良处未切除以及缝合材料选用不当。

Conclusions : The main causes of urethral stricture of hypospadias urethroplasty are incorrect design of pedicle island flap , short blood supply of the flap , infection and the improper suture material .