修复后尿道狭窄时.无论选择尿道对端吻合,还是皮瓣植入,均需与尿道近心端缝合,因其在会阴深部,必须经过外括约肌才能缝合前列腺尖端,既要使用特制的器械及缝针亦常感困难。而这又是成功修复的关健,作者改用耻骨上经膀胱造口途径,插入内腔镜作会阴深部缝合,困难大为减少。操作方法内腔镜经膀胱造口插入,过膀胱颈进入前列腺尿道,看清精阜标志,用特制探针将缝线穿过前列腺尖端组织,从会阴部穿出,助手从下面拉住缝 Repair of urethral stricture. Regardless of the choice of the urethral anastomosis, or flap implantation, the proximal end of the urethra need to be sutured, because of its deep in the perineum, the external sphincter to suture the prostate tip, it is necessary to use special equipment and Stitches are also often difficult. And this is the key to successful restoration, the author switched to the suprapubic bladder via the stoma, insert the endoscopic deep perineal suture, the difficulty is greatly reduced. Operation endoscopic strabismus inserted through the stoma, the bladder neck into the prostatic urethra, see fine Fu sign, with a special probe through the prostate tip tissue, piercing from the perineum, the assistant pull the seam from below