Perineal urethrostomy: A single-stage viable option for complex anterior urethral strictures

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Single stage: dorsolateral onlay buccal mucosal urethroplasty for long anterior urethral strictures using perineal route

OBJECTIVE To assess the outcome of single stage dorsolateral onlay buccal mucosal urethroplasty for long anterior urethral strictures (>4cm long) using a perineal incision. MATERIALS AND METHODS From August 2010 to August 2013, 20 patients underwent BMG urethroplasty. The cause of stricture was Lichen sclerosis in 12 cases (60%), Instrumentation in 5 cases (25%), and unknown in 3 cases (15%)....

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Management of Anterior Urethral Strictures

Anterior urethral strictures affect the male urethra between the tip of the penis and the apex of the prostate. These form the bulk of urethral strictures in men. The common causes for urethral strictures seem to be idiopathic or related to instrumentation of the urethra. Clinically, patients have varying obstructive symptoms associated with the progressive narrowing of the urethral lumen. Trea...

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Penile circular fasciocutaneous skin flap in 1-stage reconstruction of complex anterior urethral strictures.

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7-flap perineal urethrostomy

Perineal urethrostomy (PU) has been performed with success for the treatment of refractory and advanced urethral stricture disease for at least the past six decades. Here, we review the indications and outcomes of PU for indications such as complex hypospadias repair and urethral stricture disease resulting from trauma, infection, and failure of prior urethroplasty. We also describe the role of...

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ژورنال

عنوان ژورنال: Urology Annals

سال: 2021

ISSN: 0974-7796

DOI: 10.4103/ua.ua_111_20