Pericatheter urethrogram after anastomotic urethroplasty: Is it a must?

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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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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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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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Management of Delayed Onset Postoperative Hemorrhage after Anastomotic Urethroplasty

Excision with primary anastomosis (EPA) urethroplasty is generally the preferred method for short strictures in the bulbar urethra, given its high success rate and low complication rate compared to other surgical interventions. Bleeding is a presumed risk factor for any surgical procedure but perioperative hemorrhage after an EPA requiring hospitalization and/or reintervention is unreported wit...

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ژورنال

عنوان ژورنال: Pakistan Journal of Medical Sciences

سال: 2018

ISSN: 1681-715X

DOI: 10.12669/pjms.345.15266