Analysis The Security And Effective Of 2-microns Laser Combined Prednisone For The Treatment Of Urethral Stricture

Backgroud and object: It is a tricky urology disease of Male urethral stricture,the treatment of urethral stricture diversification at present,it is often divided into open surgery and invasive surgery.The curative effect of traditional open surgery treatment for urethral stricture is not exactly,but because of the surgical is development,the open surgery become gradually obsoleted.With the development of minimally invasive techniques,invasive surgery in treatment of urethral stenosis has been generally accepted.the treatment of urethral stricture technology including laser,electric resection,cryoscalpel,plasma,etc.Each have advantages and disadvantages of all kinds of cutting technology,precision electric resection technology is poor,it is easy to cause secondary urethral stricture;cryoscalpel and plasma technology hemostatic effect is poor,it can cause more bleeding,eye shot is not clear,because of its drawbacks,they are not commonly used in the treatment of urethral stricture surgery.Laser treatment of urethral stricture due to its better precise and hemostatic effect,and now become a medical operation preferred way for the treatment of urethral stricture.It has Curative effect of treatment of urethral stricture above the 2 microns laser,experimental study through the analysis of general information into the group of patients,comparing the difference between the maximum urinary flow rate before and after operation,the analysis of 2 microns(thulium)laser surgery treatment for urethral stricture safety of patients after surgery and follow-up study combined oral prednisone drugs for the treatment of urethral stricture clinical curative effect,provide new method for the treatment of urethral stricture,It has plays an important guiding significance for future clinical workMethods : Analysis the security and effective of 2-microns laser combined prednisone for the treatment of urethral stricture.Methods: We do research on 62 cases of male patients with urethral stricture,preoperative testing maximum urinary flow rate,postoperative indwelling F20~22 urinary tube of two months,After 3-5months to review the maximum urinary flow rate.Oral prednisone treatment with The line group in postoperative week,control group does not.Results: 1 ? The operation of 62 cases were successful,intraoperative complications,2?All patients with postoperative maximum urinary flow rate and micturition time compared with preoperative have statistically significant differences.3-5 months after trial group compared with control group maximum urinary flow rate value,statistically significant,During postoperative patients take prednisone were not cause infection,diabetes,Cushing's syndrome symptoms such as side effects.3?The evaluation criteria of successful operation is not urine flow rate,but the The difference of urinary flow rate4?All of the patients urine smooth,It cannot think the longer the better about retain urine tube5 ?only 2 patient suffer from orchitis,the others have no postoperative incontinence,orchitis,epididymitis and erectile dysfunction and other complications.Conclusion: It has high sensitivity to diagnosis of urethral stenosis with the maximum urinary flow rate;2-microns laser surgery in combination with prednisone treatment the curative effect and safety of urethral stricture,worth clinical popularizing widely.