PURPOSE There is widespread belief that hypospadias surgery in adults has a greater urethroplasty complication rate than similar repair in children. We compared outcomes of primary and reoperative hypospadias repair in adults vs children. MATERIALS AND METHODS We evaluated prospectively maintained databases of consecutive boys and adults, defined as Tanner 4 or greater, treated with primary o...

OBJECTIVES To compare the outcome of hypospadias repair using tubularised incised-plate (TIP) urethroplasty and tubularisation of an intact and laterally augmented urethral plate. PATIENTS AND METHODS This prospective randomised study included 370 patients with primary distal hypospadias. All had urethral plate widths of 8-10 mm and a glans of ⩾15 mm. Exclusion criteria were previous repair, ...

Background: Buccal mucosal graft is commonly used in substitution urethroplasty for the treatment of anterior urethral strictures. However, optimal management donor site remains a topic debate. This prospective study aimed to compare outcomes and morbidity associated with closure versus non-closure buccal harvesting urethroplasty.
 Methodology: A total 60 patients strictures underwent uret...

Abstract Introduction Total phalloplasty (TP) is used for the creation of a penis in female to male sex reassignment surgery (FTM SRS). Objective We focused our work on free flap transfer technique using latissimus dorsi myocutaneous (MLDF) order create neophallus that allows safe performance urethroplasty and two cylinders prosthesis implantation. Methods Five patient underwent surgery. A nece...

Urethral stricture disease affects many men worldwide. Traditionally, the investigation of choice has been urethrography and the management of choice has been urethrotomy/dilatation. In this review, we discuss the evidence behind the use of ultrasonography in stricture assessment. We also discuss the factors a surgeon should consider when deciding the management options with each individual pat...

Posterior urethroplasty is the most common strategy for the treatment of post-traumatic urethral injuries. Especially in younger patients, post-traumatic injuries are a common reason for urethral strictures caused by road traffic accidents, with pelvic fracture or direct trauma to the perineum. In many cases early endoscopic realignment is the first attempt to restore the junction between proxi...

BACKGROUND Urethral stricture disease is a challenging condition to treat and several approaches including direct visual internal urethrotomy (DVIU) and anastomotic or augmentation urethroplasties based on the use of flaps and graft have been reported. The aim of this study is to determine risk factors for stricture recurrence and complications in patients having buccal mucosal graft (BMG) uret...