Focused issue on contemporary management of urethral stricture
نویسندگان
چکیده
It is with great pleasure that we introduce this special compendium on the contemporary management of urethral stricture. We have attempted to present a current, state-of-the-art examination of many new management techniques employed by today’s reconstructive urologists. Manuscripts were authored by both established leaders and rising stars within this growing, vibrant subspecialty. We begin with a review of imaging modalities utilized to diagnose and stratify patients with urethral strictures. Armed with a detailed portrayal of the picture, we then explore the diverse applications of buccal mucosa grafting in complex urethral reconstruction. Management of the devastated urethra is divided into several important topics, including a new technique for perineal urethrostomy, prevention of urethral stricture after artificial urinary sphincter cuff erosion, and management of refractory incontinence men with refractory stricture. The acute management of pelvic fracture urethral injuries remains highly controversial. We present the reader with “fair and balanced” arguments supporting both primary endoscopic alignment and delayed bulbomembranous anastomotic urethroplasty using a “Pro” and “Con” approach. Lastly, new frontiers in urethral reconstruction are highlighted, with a focus on alternative grafts and injectable treatments that may be increasingly utilized going forward. We would like to thank each expert author and the entire Translational Andrology and Urology (TAU) editorial team for their time and hard work in support of this overview.
منابع مشابه
Evaluation of Combined Electro Cutter with Cold Knife in the Intractable Anterior Urethral Stricture Urethrotomy
Background: Sachse cold knife is conventionally used for optical internal urethrotomy to manage urethral strictures. In this procedure, the complications and recurrence rates are relatively high. We suggest combined electro cutter and cold knife as a success alternative in the management of intractable anterior urethral strictures. Methods: In this prospective...
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Contemporary management of anterior urethral strictures requires both endoscopic as well as complex substitution urethroplasty, depending on the nature of the urethral stricture. Recent clinical and experimental studies have explored the possibility of augmenting traditional endoscopic urethral stricture management with anti-fibrotic injectable medications. Additionally, although buccal mucosa ...
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A review of the recent literature on the surgical management of anterior urethral stricture was performed. The literature was searched via PubMed using the search terms 'urethral stricture' and 'urethroplasty' from 1996 to 2009. The management of anterior urethral strictures is changing rapidly in the sense that the reconstructive procedures have evolved greatly. Penile skin, because of its loc...
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Urethral strictures are a common urologic disease that arises from varied etiologies. These strictures range in severity from simple, short lesions to complex, long defects. Likewise, the management approach varies based on the complexity of the lesion. We reviewed the literature of urethral stricture disease and its management. In particular we have focused on complex strictures of the male pe...
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Background: This study was conducted to evaluate results of urethroscopic management of iatrogenic urethral injuries due to gynecological operations. Materials and Methods: From November 2001 till November 2003, 12 iatrogenic urethral injuries which were managed with mean time 12 hours (Range= 6-72) after gynecological operations were included in this study. 3 months after urethroscopy and dist...
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