Opinion: Anastomotic Urethroplasty

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Opinion: Anastomotic Urethroplasty

With an estimated prevalence of 296 to 627 per 100,000 men, male urethral stricture disease imposes a significant burden on the health care system (1, 2). Urethroplasty has demonstrated durable, high success rates in the management of a wide spectrum of stricture disease, far exceeding that of the more commonly performed but less successful direct vision internal urethrotomy (DVIU) (1, 3-5). Wh...

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Substitution urethroplasty or anastomotic urethroplasty for bulbar urethra strictures? Or endoscopic urethrotomy? Opinion: Anastomotic Urethroplasty.

There are many ways to skin a cat. An “index” 2 cm bulbar urethral stricture can be well-treated with an anastomotic technique, with ventral or dorsal buccal urethroplasty, or with direct vision internal urethrotomy. However, urethrotomy has the most limited use. Most experts think direct internal urethrotomy should be reserved for those patients not previously treated, or who are unwilling or ...

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Pediatric and adolescent transperineal anastomotic urethroplasty.

PURPOSE Pediatric urethral stricture disease represents a significant surgical challenge because of smaller pelvic confines, decreased caliber and increased tissue fragility. Operative series of pediatric urethral reconstruction usually involve small numbers. In this study, we examined the outcome of open reconstructive techniques for pediatric and adolescent patients with posterior urethral di...

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Optimising the outcome after anastomotic posterior urethroplasty

OBJECTIVES To develop a plan that would optimise the outcome after an anastomotic repair of a pelvic fracture urethral injury (PFUI). METHODS Data on the delayed repair of PFUI from reports in English were critically reviewed. The search criteria included reports by high-volume surgeons and those from tertiary centres of reconstructive urethral surgery. RESULTS The delayed repair of a PFUI ...

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Con: bulbomembranous anastomotic urethroplasty for pelvic fracture urethral injuries

Current literature remains controversial regarding whether to treat patients sustaining pelvic fracture urethral injuries (PFUIs) with primary endoscopic realignment (PER) versus suprapubic tube (SPT) placement alone with elective bulbomembranous anastomotic urethroplasty (BMAU). Success rates for PER following PFUI are wide-ranging, depending on various authors' definitions of what defines a s...

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ژورنال

عنوان ژورنال: International braz j urol

سال: 2015

ISSN: 1677-5538

DOI: 10.1590/s1677-5538.ibju.2015.0266