keyword
https://read.qxmd.com/read/38505155/redo-inferior-pubectomy-for-failed-anastomotic-urethroplasty-in-pelvic-fracture-urethral-injury
#1
JOURNAL ARTICLE
Lin Wang, Wenxiong Song, Xufeng Peng, Rong Lyu, Jijian Wang, Chongrui Jin, Chao Feng, Xiangguo Lyu, Yinglong Sa, Yidong Liu
OBJECTIVES: To assess the effect of redo inferior pubectomy on the management of complicated pelvic fracture urethral injury (PFUI) in patients with a history of failed anastomotic urethroplasty. MATERIALS AND METHODS: We retrospectively reviewed all patients receiving redo anastomotic urethroplasty with redo inferior pubectomy for failed PFUI between January 2010 and December 2021. Patients with incomplete data and those who were lost to follow-up were excluded...
March 2024: Current Urology
https://read.qxmd.com/read/38490276/algorithmic-midline-approach-to-perineal-urethrostomy-is-associated-with-long-term-success-and-high-patient-satisfaction
#2
JOURNAL ARTICLE
Eshan G Joshi, Maia E VanDyke, Brian T Langford, Bryce P Franzen, Allen F Morey
PURPOSE: To assess surgical success and patient-reported outcomes of perineal urethrostomy via midline approach. MATERIALS & METHODS: Charts of patients undergoing primary perineal urethrostomy between May 2008 and June 2022 were reviewed. Background characteristics were assessed; success was defined as freedom from re-intervention. Patient-reported outcome measures were assessed using a cross-sectional phone survey. Several validated questionnaires were used to assess lower urinary tract symptoms, quality of life, and erectile dysfunction...
March 13, 2024: Urology
https://read.qxmd.com/read/38486615/proximal-urethrostomy-versus-urethroplasty-for-complex-urethral-strictures
#3
JOURNAL ARTICLE
Nir J Rahav, Mohamad Udah, Sarit Cohen, Tali Bdolah-Abram, Boris Chertin, Ofer Z Shenfeld
BACKGROUND: The optimal treatment for complex urethral stricture (CUS) is yet to be determined. Comparisons of methods based on validated questionnaires or objective outcome measures are lacking. OBJECTIVE: To compare proximal urethrostomy and urethroplasty for CUS using objective measures and validated questionnaires, and to evaluate trends in subgroups of patients who underwent proximal urethrostomy as the intended definitive treatment versus first-stage urethroplasty...
April 2024: European urology open science
https://read.qxmd.com/read/38481667/optilume-drug-coated-balloon-for-anterior-urethral-stricture-2-year-results-of-the-robust-iii-trial
#4
JOURNAL ARTICLE
Maia E VanDyke, Allen F Morey, Karl Coutinho, Kaiser J Robertson, Richard D'Anna, Kent Chevli, Christopher H Cantrill, Michael J Ehlert, Alexis E Te, Jeffrey Dann, Jessica M DeLong, Ramón Virasoro, Judith C Hagedorn, Richard Levin, Euclid DeSouza, David DiMarco, Brad A Erickson, Carl Olsson, Sean P Elliott
OBJECTIVE: The aim of this study is to report the updated 2-year results of the intervention arm of the ROBUST III randomized trial evaluating the safety and efficacy of the Optilume drug-coated balloon (DCB) versus standard endoscopic management of recurrent male anterior urethral stricture. MATERIALS AND METHODS: Eligible patients included men with recurrent anterior urethral stricture ≤3 cm in length and ≤12Fr in diameter, International Prostate Symptom Score (IPSS) ≥11 and peak flow rate (Qmax) <15 mL/s...
March 2024: BJUI compass
https://read.qxmd.com/read/38319558/adult-hypospadias-outcomes-for-the-pediatric-urologist
#5
REVIEW
Tyler Gaines, Jay Simhan
PURPOSE OF REVIEW: This review article will examine the current literature on hypospadias-related complications in adult patients. RECENT FINDINGS: In this article, we will review the most recent studies evaluating hypospadias-related stricture disease, erectile function, fertility, and psychosexual outcomes in adult men with history of hypospadias repair in childhood. Managing hypospadias-related complications in adult patients is challenging to reconstructive urologists due to the compounded complexity of innate tissue deficiency and history of prior surgical repairs...
February 6, 2024: Current Urology Reports
https://read.qxmd.com/read/38314077/a-single-stage-dorsal-inlay-buccal-mucosal-graft-placement-through-subcoronal-vertical-sagittal-ventral-urethrotomy-without-glansplasty-for-reconstruction-of-meatal-stenosis-fossa-navicularis-and-distal-penile-urethral-stricture-our-initial-experience
#6
JOURNAL ARTICLE
Swadeep Kumar Srivastava, Debansu Sarkar, Dilip Kumar Pal
INTRODUCTION: Reconstruction of fossa navicularis stricture (FNS) poses a challenge in providing acceptable functional and cosmetic outcomes. We describe our novel surgical technique and its short-term results. METHODS: This urethroplasty technique is a single-stage dorsal inlay buccal mucosal graft placement with subcoronal vertical sagittal ventral urethrotomy without glansplasty. Twenty-one operated patients were followed up at 2 months and 6 months postoperatively...
2024: Indian Journal of Urology: IJU: Journal of the Urological Society of India
https://read.qxmd.com/read/37981167/the-best-method-for-erection-function-in-urethroplasty-is-excision-and-primary-anastomosis-or-buccal-mucosal-graft-urethroplasty
#7
REVIEW
R Uğur, A Şimşek
INTRODUCTION: The aim of this study is to evaluate and compare erection function (EF) after Excision and Primary Anastomosis Urethroplasty (EPAU) and Buccal Mucosal Graft Urethroplasty (BMGU) in bulbar urethral stricture. METHODS: Patients who underwent urethroplasty were identified retrospectively. The criteria for inclusion in the study were determined as being over 18 years old and under 70 years old, being sexually active. Exclusion criteria are; preoperative severe erectile dysfunction, stricture outside the bulbar urethra, psychosocial incompatibility, urethral stricture related to pelvic fracture, follow-up time less than a year...
November 20, 2023: Actas urologicas españolas
https://read.qxmd.com/read/37973403/low-risk-of-erectile-dysfunction-after-nontransecting-bulbar-urethroplasty-for-urethral-stricture-a-systematic-review-and-meta-analysis
#8
JOURNAL ARTICLE
Xingming Zhao, Yanbo Xing, Xi Zhang, Qiang Guo, Chengyong Li, Chao Guo, Jingqi Wang, Chuan Hao
BACKGROUND: Sexual function after urethroplasty may be a concern for patients, but there are still some controversies regarding the consequences of nontransecting bulbar urethroplasty (ntBU) in terms of erectile dysfunction (ED). AIM: This meta-analysis aimed to compare the efficacy and safety of ntBU with that of transecting bulbar urethroplasty (tBU). METHODS: The PubMed, Web of Science, Cochrane, and Embase databases were searched and reviewed up to October 31, 2022...
November 16, 2023: Journal of Sexual Medicine
https://read.qxmd.com/read/37864674/surgical-management-and-post-operative-functional-outcomes-of-patients-with-a-penile-fracture-a-single-centre-experience-over-10%C3%A2-years
#9
JOURNAL ARTICLE
Sarah M Norton, Yazan Qaoud, Elinor Doherty, Killian Daly, Robert Keenan, Mark Quinlan, Waleed Mohammed, Niall Davis, Ponnusamy Mohan
BACKGROUND: Penile fractures are uncommon urological emergencies which occur when there has been a breach in the tunica albuginea of the corpora cavernosum that may be unilateral and bilateral and can extend to involve the urethra. AIM: To assess the management and outcomes of penile fractures in a single institution in Ireland. METHODS: A retrospective review of the emergency theatre logbooks was performed between 2011 and 2021 to identify patients who had undergone an exploration for a suspected penile fracture...
October 21, 2023: Irish Journal of Medical Science
https://read.qxmd.com/read/37620812/erectile-function-after-different-techniques-of-bulbar-urethroplasty-does-urethral-transection-make-a-difference
#10
JOURNAL ARTICLE
Osama Shalkamy, Mohamed Elsalhy, Saleh Mohammed Alghamdi, Mohammed Beaiti, Ibrahim Abdel-Al, Mahmoud Faisal, Tamer A Abouelgreed, Yasser Badran, Abdrabu Abdrabu, Mahdi Al-Ayafi, Mohanad Jebril Bosily, Salah E Shebl, Ibrahim Nematallah, Ahmed Shafiea, Adel Elatreisy
PURPOSE: We aimed to compare the impact of urethral transection after different techniques of bulbar urethroplasty on erectile function outcome. MATERIALS AND METHODS: We retrospectively reviewed the records for 245 patients who underwent different urethroplasty techniques for bulbar urethral stricture between February 2013 and January 2021. The comparison between the transecting and non-transecting cohorts included patients' demographics, clinicopathological features of the urethral stricture, post-urethroplasty erectile function, and success of urethroplasty...
August 24, 2023: BMC Urology
https://read.qxmd.com/read/37507578/ventral-onlay-buccal-mucosa-graft-urethroplasty-for-female-urethral-stricture-improves-female-sexual-functions
#11
JOURNAL ARTICLE
Deniz Gul, Burak Uysal, Yavuz Tarik Atik, Anil Erdik, Haci Ibrahim Cimen, Mehmet Suhha Bostanci, Osman Kose
Female urethroplasty provides excellent results with high success rates in the treatment of female urethral stricture (FUS), but sexual functions after urethroplasty is another concern and have not been adequately investigated. We aimed to evaluate changes in the sexual functions of patients undergoing ventral onlay buccal mucosa graft urethroplasty (VOBMGU). We retrospectively evaluated 18 patients who underwent VOBMGU supported with a Martius labial fat pad flap (MLFPF) in our tertiary referral centre, between 2019 and 2021...
July 28, 2023: International Journal of Impotence Research
https://read.qxmd.com/read/37409824/mucomucosal-anastomotic-non-transecting-augmentation-manta-urethroplasty-a-ventral-modification-for-obliterative-strictures
#12
JOURNAL ARTICLE
Phillip Marks, Roland Dahlem, Florian Janisch, Jakob Klemm, Lennart Kühnke, Frederik König, Liucheng Ding, Silke Riechardt, Margit Fisch, Malte W Vetterlein
OBJECTIVES: To present a surgical modification for the repair of bulbar urethral strictures containing short, highly obliterative segments and report on long-term objective and patient-reported outcomes. PATIENTS AND METHODS: We considered patients undergoing bulbar buccal mucosal graft urethroplasty (BMGU) between July 2016 and December 2019. Eligibility criteria for mucomucosal anastomotic non-transecting augmentation (MANTA) urethroplasty were strictures of ≥2 cm with an obliterative segment of ≤1...
October 2023: BJU International
https://read.qxmd.com/read/37402622/outcomes-of-transecting-versus-non-transecting-urethroplasty-for-bulbar-urethral-stricture-a-meta-analysis
#13
REVIEW
Maciej Oszczudlowski, Christian Yepes, Jakub Dobruch, Francisco E Martins
OBJECTIVES: To assess outcomes of transecting vs non-transecting urethroplasty for bulbar urethral stricture in terms of stricture recurrence rate, sexual dysfunction, and patient-reported outcome measures (PROMs) related to lower urinary tract (LUT) function. METHODS: Electronic literature searches were conducted using PubMed, Cochrane Library, Web of Science and Embase databases. The studied population was limited to men with bulbar urethral stricture included in studies that compared outcomes after transecting and non-transecting urethroplasty...
September 2023: BJU International
https://read.qxmd.com/read/37306088/effects-of-continuous-use-of-tadalafil-on-male-sexual-function-after-posterior-urethroplasty-a-clinical-trial
#14
JOURNAL ARTICLE
Hamedreza Nourian Kafshgari, Danial Farhadi, Morad Kohandel Gargari, Sajjad Pourasghary, Fateme Tahmasbi, Farzin Soleimanzadeh
INTRODUCTION: Posterior urethral injuries in men commonly occur following pelvic and perineal trauma. Erectile dysfunction (ED), whether brought on by the severity of the initial trauma or the surgery itself, is one of the complications in these patients. MATERIALS AND METHODS: In this study, we divided candidates of posterior urethroplasty due to traumatic urethral injury into intervention and placebo groups; the former received continuous treatment with tadalafil (10 mg daily), and the latter received a placebo...
June 12, 2023: Urologia
https://read.qxmd.com/read/37138233/study-on-clinical-outcomes-between-non-transecting-urethroplasty-and-lingual-mucosal-urethroplasty-for-iatrogenic-bulbar-urethral-stricture-treatment
#15
JOURNAL ARTICLE
Wei Le, Denglong Wu, Chengdang Xu, Weidong Zhou, Chao Li
BACKGROUND: This study aimed to compare the clinical outcomes of non-transecting urethroplasty and lingual mucosal urethroplasty in the treatment of iatrogenic bulbar urethral stricture. RESULTS: A total of 25 patients with iatrogenic bulbar urethral stricture were enrolled, 12 of whom underwent lingual mucosal urethroplasty, 13 patients who underwent non-transecting urethroplasty. All patients were followed-up and evaluated at 3 postoperative months. Evaluations included urethrography, maximum urine flow rate (Qmax), nocturnal erectile function testing, International Index of Erectile Function (IIEF-5) assessment, and Anxiety Related Scale (SAS) assessment...
May 4, 2023: Basic and Clinical Andrology
https://read.qxmd.com/read/37078848/buccal-mucosa-graft-urethroplasty-for-bulbar-urethral-stricture-outcomes-andpredictive-factors-affecting-success
#16
JOURNAL ARTICLE
Y Güler
INTRODUCTION AND OBJECTIVE: The bulbar urethra is the location where urethral stricture is most commonly observed. The most successful method for long and recurrent urethral stenosis is graft urethroplasty. The most successful graft source is buccal mucosa, with advantages like easy adaptation to the corporeal bed, thick epithelium, thin lamina propria with rich vascular structure and easy ability to obtain the graft. In this study we aimed to retrospectively assess the outcomes and predictive factors affecting surgical success of our buccal mucosal graft urethroplasty surgery performed for bulbar urethra stenosis with moderate length...
March 2023: Actas urologicas españolas
https://read.qxmd.com/read/37012103/post-pubertal-functional-outcomes-of-one-stage-anatomical-reconstruction-of-the-corpus-spongiosum-bulbo-spongiosus-muscle-and-dartos-in-46-children-with-proximalhypospadias
#17
JOURNAL ARTICLE
Hennayake S, Almutairi F, Ajao A, Bianchi A
INTRODUCTION: Anatomical studies of hypospadias show failure of zipping-up of histologically normal urethral plate and corpus spongiosum. With the commonly utilized substitution urethroplasties for proximal hypospadias, a reconstructed urethra of just an "epithelial-lined tube" with no spongiosal support, is apt to long-term urinary and ejaculatory dysfunctions. We completed a one-stage anatomical reconstruction in children with proximal hypospadias whenever the ventral curvature could be reduced to <30° and evaluated the post-pubertal outcomes...
March 22, 2023: Journal of Pediatric Urology
https://read.qxmd.com/read/36754234/delineating-which-patient-reported-symptoms-are-associated-with-satisfaction-after-urethroplasty
#18
JOURNAL ARTICLE
Elaine Redmond, Jordan Bekkema, Keith F Rourke
OBJECTIVE: To determine which patient-reported symptoms are associated with satisfaction after urethroplasty. METHODS: From 2011-2018, patients were offered enrollment in a prospective study assessing patient-reported outcomes after urethroplasty. Outcomes were assessed pre-operatively and 6-months postoperatively including patient satisfaction, voiding function (IPSS), erectile function (IIEF-5) and ejaculatory function (ejaculatory component of brief sexual function inventory)...
February 6, 2023: Urology
https://read.qxmd.com/read/36582879/congenital-megalourethra
#19
Turyalai Hakimi
BACKGROUND: Congenital megalourethra is a urogenital anomaly characterized by a cystic dilatation and elongation of the penile urethra resulting from the absence and hypoplasia of the corpus spongiosum and corpus cavernosum, or anterior urethral valve. There are two clinical types: scaphoid and fusiform. Generally, the etiology is unknown, but it is thought to be a defect in mesodermal development. Fewer than 100 cases have been reported in the literature, and the exact incidence is unclear...
December 2022: Annals of Medicine and Surgery
https://read.qxmd.com/read/36515568/urethral-rupture-concomitant-with-penile-fracture-does-not-adversely-affect-functional-outcomes
#20
JOURNAL ARTICLE
Hasan Yilmaz, Ibrahim Erkut Avci, Naci Burak Cinar, Enes Malik Akdas, Muhlis Unal, Enes Abdullah Baynal, Onder Kara, Kerem Teke
INTRODUCTION: The aim of this study was to identify possible risk factors for urethral rupture and to evaluate the effect of urethral rupture repair on long-term functional outcomes and complications. MATERIALS AND METHODS: The medical records of consecutive penile fracture patients were retrospectively reviewed. Penile fracture patients with and without urethral rupture were compared according to demographics, clinical and intraoperative findings. Comparisons of postoperative functional results of the groups were performed using the 5-item version of the International Index of Erectile Function (IIEF-5) and the International Prostate Symptom Score (IPSS)...
December 14, 2022: Urologia
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