[Endoscopic treatment of complete obliteration of posterior urethra].
The authors shared their experience in regard of treatment of complete urethral obliteration. In a 14-year they diagnosed and treated 37 patients (aged 22-74 years) with obstruction of the lower urinary tract as a result of complete urethral obliteration. The etiology include 14 patients after perineal urethral trauma, in 10 patients the main cause was urethral inflammation of posterior urethra, in 8--as a consequence of transurethral surgery and in 5--after suprapubic prostatectomy. Main diagnostic methods they used were retrograde urethrography and urethroscopy with 0 degree fiberoptic. In all patients an endoscopic incision of fibrotic tissue was carried out thus the entering the bladder cavity was successful. In some patients operative technique with a Benique through cystostomy cannel and bladder neck just opposite to the urethrotome knife was used. In three patients (8.2%) the procedure failed due to the massive urethral hemorrhage. They report recurrent urethral strictures in 24 patients (64.8%), treated with visual urethrotomy. The continence was compromised in 6 patients (16.2%).
Neĭkov
K
K
Panchev
P
P
Kirilov
S
S
D000328:Adult; D000368:Aged; D002031:Bulgaria; D004724:Endoscopy / Q000379:methods*; D005336:Fiber Optic Technology; D006470:Hemorrhage / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged; D010502:Perineum / Q000473:pathology / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery; D011468:Prostatectomy; D012008:Recurrence; D012189:Retrospective Studies; D020728:Transurethral Resection of Prostate / Q000009:adverse effects; D017211:Treatment Failure; D016896:Treatment Outcome; D014524:Urethral Obstruction / Q000150:complications / Q000209:etiology / Q000601:surgery*; D014525:Urethral Stricture / Q000209:etiology / Q000601:surgery; D014526:Urethritis / Q000150:complications / Q000601:surgery