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...

INTRODUCTION Urethral strictures remain a reconstructive dilemma, due to high incidence of recurrence and less than satisfactory outcomes. Even experienced surgeons following strict surgical principles have not achieved optimal results, leading us to think whether the etiology of strictures dictate the outcome . We evaluated this "cause-effect" relationship highlighting the significance of the ...

Distal urethral strictures involving the fossa navicularis and meatus represent a unique subset of urethral strictures that are particularly challenging to reconstructive urologists. Management of distal urethral strictures must take into account not only maintenance of urethral patency but also glans cosmesis. A variety of therapeutic approaches exist for the management of distal urethral stri...

BACKGROUND Urethral stricture is a narrowing of the urethra due to scar tissue, which leads to obstructive voiding dysfunction with potentially serious consequences for the entire urinary tract. Its prevalence among men in industrial countries is estimated at 0.9%. It produces obstructive and irritative urinary symptoms and can ultimately impair renal function. Urethral strictures can be caused...

introduction: male urethral stricture is a complicated urologic disease that could be successfully treated using internal urethrotomy. laser internal urethrotomy has been used in many cases with favorable outcome in many studies. holmium: yag laser with its incisional properties on tissue is one of the laser types applied for internal urethrotomy. methods: we present a 19 year-old male with his...

OBJECTIVE To compare clean intermittent self-catheterisation and urethral dilatation with sounds in the management of recurrent urethral strictures. DESIGN A prospective randomised control trial between repeated urethral dilatation with sounds and use of clean intermittent self-catheterisation in the management of recurrent urethral strictures. SETTING Kenyatta National Hospital, urology cl...

This committee reviewed and evaluated published data, and recommended standardized terminology relating to the epidemiology, etiology, anatomy, and nomenclature of urethral stenoses, urethral strictures, and pelvic fracture urethral disruption injuries, as well as their surgical management. A literature search using Medline, PubMed (U.S. National Library of Medicine and the National Institutes ...

INTRODUCTION Urethral stricture refers to anterior urethral disease, a scarring process involving the spongy erectile tissue of the corpus spongiosum, also referred to as spongiofibrosis 1 . 80% of strictures that are secondary to instrumentation occur at the membranous urethra. The other 20% generally occur at the penoscrotal junction. A study done by Palminteri et al 2 on 1439 patients with u...

Complex anterior urethral stricture disease typically manifests as a symptomatic, severely narrowed, long stricture (or multiple strictures) in which conventional excision and/or augmentation is not feasible. Overlapping buccal mucosal graft urethroplasty (OBMGU) is an innovative hybrid technique, combining the well-established principles of dorsal and ventral graft augmentation to allow single...

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...