CONTEXT Reconstructive surgeons who perform urethroplasty have a variety of techniques in their armamentarium that may be used according to factors such as aetiology, stricture position, and length. No one technique is recommended. OBJECTIVE Our aim was to assess the reported outcomes of the various techniques for graft augmentation urethroplasty according to site of surgery. EVIDENCE ACQUI...

Background Learning curves have been described for a number of urological procedures including radical prostatectomy and laparoscopic nephrectomy but rarely for urethroplasty. We describe the learning curve for bulbar urethroplasty in a single surgeon series. Methods A retrospective case note review was performed of 91 consecutive men median age 32 years (range, 15-66 years) having bulbar ure...

Urethral stricture repair, irrespective of the underlying etiology, has been a challenge for urologic surgeons for decades. However, surgical techniques are continually evolving and the overall success rates keep improving. Focusing on bulbar urethroplasty, the most common causes in the industrialized countries are external trauma and prior instrumentation. Short bulbar urethral strictures meas...

OBJECTIVES The use of covering urethroplasty with flaps in hypospadias surgery has been well recommended. Various techniques have been described for flap harvesting. The aim of the present study was to compare the outcome and complication rate of dorsal preputial flaps and ventral dartos flaps. METHODS A total of 130 patients were prospectively evaluated from January 2008 to December 2011. Us...

Objectives. To evaluate the results of one-stage buccal mucosal urethroplasty in treatment of long urethral strictures. Methods. This retrospective study was carried out on 117 patients with long urethral strictures who underwent one-stage transperineal urethroplasty with dorsally placed buccal mucosal grafts (BMG). Success was defined as no need for any intervention during the follow-up period...

A 2-month-old boy was diagnosed with febrile urinary tract infection. Voiding cystourethrography showed bulbar and anterior urethral strictures, and endoscopic internal urethrotomy was performed. He developed febrile urinary tract infection again and revealed the recurrence of the anterior urethral stricture. Consequently, endoscopic internal urethrotomy was performed 4 times. Because the anter...

Isolated congenital penile urethrocutaneous fistula is described as an unusual developmental anomaly in two infants who presented with an abnormal opening on the ventral aspect of penis with a normal foreskin and an absence of the chordee, hypospadias or other associated congenital anomalies. Tubularized incised plate urethroplasty augmented with dartos pedicle blanket wrap resulted in satisfac...

Background: Urethral stricture leads to obstructive voiding dysfunction. We report an audit of surgical management urethral in adult males. Methods: The records all patients diagnosed with from December 2017 March 2019 at B. P. Koirala Institute Health Sciences, Nepal were retrieved. Preoperative, surgical, and postoperative follows-up data evaluated. American Urological Association Internation...

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 ...

Background: Being a common congenital urogenital disorder, hypospadias is mostly treated by Snodgrass urethroplasty; urethrocutaneous fistula the most frequent complication. Objective: To assess outcomes of Urethroplasty when Buck’s (external spermatic) fascia was used with Dartos to interpose between neourethra and skin compare results only applied. Study Design: Prospective comparative study ...