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作者对104名20～90岁因尿道狭窄作直视下尿道内切开术的病人,通过问卷对切开术前后性能力作回顾性研究,11名(10.6％)在术后有部分或全部勃起障碍,其中大多数为远侧长段狭窄。8名进行阳萎系列诊断包括详细病史、体检、阴茎多普勒测定及罂粟硷试验,结果3名在阴茎海绵体与尿道海绵体之间可能有异常交通,其中2名作了海绵体造影,1名见阴茎海绵体完全不透光,但不能示出漏的正确部位,因而难以手术。作者认为尿道内切开才后发生阳萎的原因可能是:1.在近端尿道球部水平海绵体神经位于尿道海绵体的1及11点处,勃起
A total of 104 patients aged 20 to 90 undergoing urethral incision under direct urethral stricture were retrospectively analyzed by questionnaire on the performance of the incision before and after surgery. Eleven patients (10.6%) underwent partial or total postoperation Erectile dysfunction, most of them distal stenosis. Eight impotence series of diagnosis including a detailed history, physical examination, penile Doppler determination and papaverine test results 3 in the penis and urethral cavernous may have abnormal traffic, including 2 for cavernous angiography, 1 The name see the penis is completely opaque, but can not show the correct location of leakage, and therefore difficult to surgery. The author believes that the reasons for impotence after incision in the urethra may be: 1 in the proximal urethra at the level of sponge nerve at 1 and 11 points of the urethra sponge, erection