摘要
目的 :探讨骨盆骨折后尿道损伤并发阳萎的机制及如何避免阳萎的发生。方法 :随访骨盆骨折后尿道损伤 18例与狭窄 2 5例的治疗效果。结果 :后尿道损伤 18例 ,采用会师牵引复位术治疗 ,2例发生阳萎 ( 11.1% ) ;陈旧性后尿道狭窄 2 5例 ,经各种手术修复尿道后 ,5例发生阳萎 ( 2 0 .0 % )。结论 :阳萎主要由骨盆骨折损伤勃起神经与血管及阴茎海绵体引起 ,伤后的手术操作及多次尿道复位或成形术 。
Purpose:To research into the mechanism of impotence after posterior urethral injury and how to prevent the occurrence of impotence.Methods:A retrospective evaluation of the sexual function after different operative management for posterior urethral injury and stricture was carried out.Results:Immediate urethral realignment was employed as the initial management of 18 cases of posterior urethral injury, postoperative impotence was observed in 2 cases ( 11.1 %).25 cases of posterior urethra stricture in this period were treated mainly through anastomatic urethroplasty,postoperative impotence was observed in 5 cases ( 20.0 %).Conclusions:sexual dysfunction has been attributed primarily to the damage of neurovascular bundles by the original pelvic fracture.Treatment of urethral stricture with several times of urethroplasty might increase the risk of impotence.
出处
《临床泌尿外科杂志》
2000年第7期309-311,共3页
Journal of Clinical Urology
