Faculty Opinions recommendation of SIU/ICUD Consultation on Urethral Strictures: Evaluation and follow-up.

2016 ◽  
Author(s):  
Christopher Chapple ◽  
Nadir Osman
Keyword(s):  
Urethral Strictures

Urethral prostheses. An overview

1995 ◽  
Vol 62 (3) ◽  
pp. 340-346
Author(s):  
A. Tizzani ◽  
G. Bodo ◽  
A. De Zan ◽  
P. Piana ◽  
G. Casetta
Keyword(s):  
Steel Alloy ◽  
First Report ◽  
Urethral Strictures ◽  
New Frontier

The first report in Literature dealing with an endourethral prosthesis in the treatment of recurrent bulbar strictures dates back to 1988. Since then other prostheses with different design and materials have been proposed. The Urolume by A.M.S., the first ever, is used worldwide and its indications are better known due to a longer follow-up time. In 6 months epithelium covers the prosthesis and it is generally well tolerated, but some Authors do not agree with its use in the treatment of traumatic strictures. Titanium prostheses have been used in few cases. A temporary steel alloy prosthesis, the Urocoil, has been proposed recently. Not enough follow-up data are available about this and the new “thermic memory” prosthesis. The bigdegradable prosthesis, used till now only on rabbits, actually represents the new frontier in the treatment of urethral strictures.

Uretroplastica a lembo libero dorsale

1997 ◽  
Vol 64 (1_suppl) ◽  
pp. 127-128
Author(s):  
C. Bondavalli ◽  
C. Pegoraro ◽  
L. Schiavon ◽  
B. Dall'Oglio ◽  
M. Luciano ◽  
...  
Keyword(s):  
Skin Graft ◽  
Dorsal Approach ◽  
Corpora Cavernosa ◽  
Urethral Strictures ◽  
Free Skin Graft

The Authors report their experience in the new urethroplasty technique by Barbagli for penile and bulbar urethral strictures. This procedure involves a free skin graft sutured to the corpora cavernosa. With this dorsal approach mechanical weakening is virtually impossible, so pseudo-diverticulum or urethrocele cannot develop. We adopted this technique in 5 patients during the last 12 months. The strictures of the urethra were 2.5 to 8 cm long. The follow-up, even thought short, show that this technique is safe and quite simple.

scholarly journals A novel application of the lotus petal flap in high-risk perineal urethrostomy: principles and outcomes

2018 ◽  
Vol 1 (1) ◽  
pp. 135-139
Author(s):  
Daniel J Reilly ◽  
Eric K Sham ◽  
Justin BL Chee ◽  
Ajay Chauhan
Keyword(s):  
High Risk ◽  
Patient Outcomes ◽  
Ileal Conduit ◽  
Soft Tissue Coverage ◽  
Skin Flaps ◽  
Flexible Cystoscopy ◽  
Urethral Strictures ◽  
Lotus Petal Flap

Introduction: Perineal urethrostomy is a valuable technique in the management of complex anterior urethral strictures, as well as following penectomy or urethrectomy. Traditional techniques that employ perineal or scrotal skin flaps have documented failure rates of up to 30%. Current techniques for salvage have only modest success, leaving patients few options other than permanent suprapubic catheter or cystectomy and ileal conduit formation.Results: We present a new method of perineal urethrostomy using perforator-based lotus petal flaps in cases which were high risk or unsuitable for traditional perineal urethrostomy techniques, or where traditional strategies had failed. All patients demonstrated continent voiding at a minimum of 22 months follow-up, with patency confirmed by flexible cystoscopy. No complications were encountered.Conclusion: Utilisation of lotus petal flaps in high-risk cases of perineal urethrostomy will lead to significant improvements in patient outcomes. The availability of larger amounts of soft tissue coverage will obviate the need for compromise on either resection of involved urethra, or calibre and inset of urethrostomy. This will subsequently minimise the rates of failure, reduce the requirement for urinary diversion procedures and lead to improved quality of life.

scholarly journals Treatment of urethral strictures in balanitis xerotica obliterans (BXO) using circular buccal mucosal meatoplasy: Experience of 15 cases

2014 ◽  
Vol 86 (1) ◽  
pp. 23 ◽  
Author(s):  
Abdulmuttalip Simsek ◽  
Sinasi Yavuz Onol ◽  
Omer Kurt
Keyword(s):  
Erectile Dysfunction ◽  
Urethral Catheter ◽  
Cosmetic Outcome ◽  
Urinary Flow ◽  
Urethral Meatus ◽  
Balanitis Xerotica Obliterans ◽  
Recurrent Stricture ◽  
Urethral Strictures ◽  
Included Patient

Objectives: Balanitis xerotica obliterans (BXO) related strictures involving the external urethral meatus. We reviewed our result with the use of circular mucosal graft in the reconstruction of strictures. Methods: Between March 1997 and January 2012, 15 patients underwent circular buccal mucosal urethroplasy for BXO related anterior urethral strictures. Urethral catheter was removed within 2 weeks. Follow-up included patient symptoms assessment, cosmetic outcome and uroflowmetry. Results: Median follow-up was 20.5 months (range 4 to 96). Mean postoperative peak urinary flow rate obtained 1 month after catheter removal was 22.4 ml per second. All patients had a normal meatus and none had recurrent stricture, chordee or erectile dysfunction. A functional and cosmetic outcome was achieved in 100% of the patients. Conclusions: Circular mucosal graft technique for treatment of meatal strictures is an efficient method for the restoration of a functional and cosmetic penis.

Tasca retto-sigmoidea (Mainz Pouch II) modificata: Nostra esperienza

1994 ◽  
Vol 61 (1_suppl) ◽  
pp. 256-259
Author(s):  
G. Sevin ◽  
H. Gezeroglu ◽  
R. Pacchiele ◽  
A. Carbone
Keyword(s):  
High Volume ◽  
Blood Chemistry ◽  
Urethral Strictures ◽  
Mainz Pouch Ii ◽  
Long Term Follow Up ◽  
Colon And Rectum ◽  
Male Patients ◽  
Low Amplitude

Sigma-rectum pouch (Mainz Pouch II) operation, which is a detubularized modification of the well-known ureterosigmoidostomy is becoming a popular alternative of urinary diversion in selected patients. 12 male patients underwent this operation due to locally invasive bladder tumours or incurable urethral strictures and fistulas. The pouch was tailored using 12 cm of sigmoid colon and rectum and performing a side to side anastomosis of the detubularized bowel in an inverted U shape. The new formed pouch was fixed onto the posterior peritoneum so that traction affecting the pouch was minimized. Postoperative radiological analysis revealed no obstruction or ureteral reflux. Urodynamic studies revealed low pressure, high volume reservoirs. Only 1 patient had reservoir wall contractions of low amplitude during filling. Although early postoperative blood chemistry did not reveal any metabolic abnormality, at long-term follow-up some patients showed important electrolyte and acid-base disorders.

The Use oF Flexible Cystoscope in Posterior Urethroplasty

2009 ◽  
Vol 76 (2) ◽  
pp. 144-149
Author(s):  
E. Palminteri ◽  
E. Berdondini ◽  
S. Maruccia ◽  
M. Poluzzi ◽  
D. Vecchio ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Pelvic Trauma ◽  
Patient Age ◽  
Membranous Urethra ◽  
Urethral Strictures ◽  
Patient Âgé ◽  
Flexible Cystoscope ◽  
Age At Surgery

We present our experience with a simplified anastomotic posterior urethroplasty to highlight the necessity and usefulness of ancillary reconstructive maneuvers. We reviewed the records of 46 patients who had undergone anastomotic repair of posterior urethral strictures due to pelvic trauma between 2000 and 2007. Mean patient age at surgery was 43 years. Average stricture length was 2.3 cm. Repair was performed with a progressive perineal anastomotic procedure using flexible cystoscope by means of transcystostomic approach: after mobilization of the bulbo-membranous urethra and the corporal splitting, the prostatic apex is well visualized and the membranous urethra is sectioned proximally; the flexible cystoscope by means of transcystostomic approach facilitates to find the proximal urethral lumen and to perform the bulbo-prostatic anastomosis. Mean follow-up was 32 months. Of 46 cases, 40 (87 %) were successful and 6 (13 %) failed with recurrence of the stricture. Urinary incontinence did not develop in any patients. The operative details and maneuvers facilitate the preparation of the bulbo-membranous urethral tract and prostatic apex, and simplify the performance of the anastomotic repair.

Urolume double prosthesis in the treatment of complex urethral strictures: A 5-year follow-up case report

Urology ◽  
1997 ◽  
Vol 50 (3) ◽  
pp. 459-461 ◽  
Author(s):  
Roberto M Scarpa ◽  
Antonello De Lisa ◽  
Daniele Porru ◽  
Marco Paulis ◽  
Enzo Usai
Keyword(s):  
Case Report ◽  
Urethral Strictures
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