| Objective:To investigate the efficacy in the treatment of traumatic urethral stricture and atresia with the 2-um laser urethrotomy. Methods:Fifty patients underwent transurethral 2-μm laser urethrotomy which suffering from traumatic posterior urethral fracture and occur urethral stricture or atresia after underwent urethral realignment and suprapubic cystostomy.The maximum flow rate (MFR), the international prostatic symptom score (IPSS) and the quality of life (QoL) were measured before operation, immediately following the removal of the catheter, and 3 months postoperatively.The results were recorded and analyzed.Result:Fifty patients performed the surgery with no rectum injury, urethral perforation or hemorrhea. The catheter was kept for 2-4 weeks. The mean MFR improved from (2.7±0.8) ml/s preoperatively to (15.7±2.1) ml/s, which kept steady to (16.1±2.1) ml/s 3 months after operation. IPSS improved from 28.7±5.1 preoperatively to,10.2±5.4 and 8.8±5.4, respectively when catheter removal and 3 months after surgery. QoL improved from 5.7±0.5 to 2.1±1.7 and 1.8±1.7,47 patients with no recurrence in the whole 3 months after the operation. Three patients relapse and one patients suffered from incontinence 1 weeks after catheter removal, but they all improve after regular periodic urethral dilatation cooperate with micturition exercise and biofeedback treatment.Conclusion:Transurethral 2-μm laser urethrotomy is suitable for treatment of traumatic urethral stricture and atresia... |
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