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Urethral stricture

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https://www.readbyqxmd.com/read/29042942/benefits-of-urethroplasty-for-managing-urethral-amyloidosis-a-case-report
#1
Xiaolin Yao, Yufang Yuan, Jiajie Fang, Hai Jiang
Urethral amyloidosis is a rare condition in which eosinophilic amyloid proteins are deposited in the urethra. Only a small number of reports on urethral amyloidosis have been published. Increased interest has been associated with this disease due to its clinical similarities with urothelial carcinoma. A biopsy of the lesion and a histological examination are essential for the correct diagnosis. Conservative management has been suggested by various urologists as the optimal treatment approach for urethral amyloidosis; however, recurrence and urethral stricture are common, and typically further treatment is required...
October 2017: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/29039059/modified-tubularized-incised-plate-urethroplasty-reduces-the-risk-of-fistula-and-meatal-stenosis-for-proximal-hypospadias-a-report-of-63-cases
#2
Hamid Arshadi, Shabnam Sabetkish, Abdol-Mohammad Kajbafzadeh
PURPOSE: To report the feasibility of modified tubularized incised plate (TIP) urethroplasty technique for proximal hypospadias in 63 cases. METHODS: From January 2004 to March 2010, 63 patients underwent one-stage TIP urethroplasty (modified Snodgrass technique repair) using 2-3 of three covering layers (corpus spongiosum, dartos, and tunica vaginalis). The primary meatus was proximal penile, penoscrotal, scrotal, and perineal in 38, 13, 10, and 2 patients, respectively...
October 16, 2017: International Urology and Nephrology
https://www.readbyqxmd.com/read/29031840/urethral-reconstruction-in-aging-male-patients
#3
Boyd R Viers, Travis J Pagliara, Charles A Rew, Lauren Folgosa-Cooley, Christine Y Shiang, Jeremy M Scott, Allen F Morey
OBJECTIVE: To report stricture characteristics, complications, and treatment outcomes among elderly men undergoing urethral reconstruction. MATERIALS AND METHODS: Retrospective review of urethroplasty cases and outcomes by a single surgeon from 2007-2014 was performed. Men were stratified by decade of life at time of surgery (<50, 50-59, 60-69, ≥70 years). Individuals with a history of hypospadias were excluded. RESULTS: Among 514 urethroplasty procedures, 184 (36%) were ≥60 years...
October 11, 2017: Urology
https://www.readbyqxmd.com/read/29031767/cycling-and-male-sexual-and-urinary-function-results-from-a-large-multinational-cross-sectional-study
#4
Mohannad A Awad, Thomas W Gaither, Gregory P Murphy, Thanabhudee Chumnarnsongkhroh, Ian Metzler, Thomas Sanford, Siobhan Sutcliffe, Michael L Eisenberg, Peter R Carroll, E Charles Osterberg, Benjamin N Breyer
PURPOSE: To explore the relation between cycling and urinary and sexual function in a large, multinational sample of men. MATERIALS AND METHODS: Cyclists were recruited to complete a survey through Facebook advertisements and outreach to sporting clubs. Swimmers and runners were recruited as a comparison group. Cyclists were categorized into low and high intensity cyclists. Participants were queried using validated questionnaires, including the Sexual Health Inventory for Men (SHIM), International Prostate Symptom Score (I-PSS), and National Institute of Health Chronic Prostatitis Symptom Index (NIH-CPSI), in addition to questions about urinary tract infections (UTIs), urethral strictures, genital numbness, and saddle sores...
October 12, 2017: Journal of Urology
https://www.readbyqxmd.com/read/29028084/expression-and-clinical-significance-of-aquaporin-1-and-et-1-in-urine-of-children-with-congenital-hydronephrosis
#5
Y Yu, Y-F Kang, K-S Li, Z-H Chen, L Zhang, H-M Zhang, M Zhang
OBJECTIVE: Congenital hydronephrosis is induced by congenital obstruction of uretero pelvic junction, bladder vesicoureteral reflux, posterior urethral valve, stricture of ureter end and ureterocyst, which is extremely apt to cause end-stage renal failure in children. It becomes significant to explore the expression profile and clinical significance of aquaporin-1 (AQP-1) and ET-1 (endothelin-1) in the urine of children with congenital hydronephrosis. PATIENTS AND METHODS: 80 cases of children with congenital hydronephrosis were selected to be the observation group and another 40 cases of children with other diseases were served as control group...
September 2017: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/29025178/-reconstructive-urethral-surgery
#6
Vahudin Zugor, Daniel Porres, Leonidas Karapanos, Axel Heidenreich, Ilgar Akbarov
Urethral strictures are independent of a patient's age and can happen in every life period. They are often iatrogenic, resulting from a transurethral surgical procedure or traumatic catheterisation. Endoscopic slotting is the surgery of choice; although this method is frequently associated with recurrence. Retrograde urethrography or cystourethrography continue to play a central role in diagnostic evaluation and treatment. There is no standardised procedure regarding the surgical technique, perioperative management, and postoperative follow-up...
October 12, 2017: Aktuelle Urologie
https://www.readbyqxmd.com/read/28990728/female-bladder-outlet-obstruction-common-symptoms-masking-an-uncommon-cause
#7
Sachin Malde, Eskinder Solomon, Marco Spilotros, Bashir Mukhtar, Mahreen Pakzad, Rizwan Hamid, Jeremy Ockrim, Tamsin Greenwell
OBJECTIVE: Bladder outlet obstruction (BOO) in women remains an underdiagnosed condition. Although diagnosed rarely in general urologic practice, its incidence in specialist centers has been reported to be up to 29%. In the present study we evaluated the incidence of female BOO in adult women referred for evaluation of lower urinary tract symptoms or urinary incontinence, assessing its etiology and correlating this with its clinical presentation. METHODS: The present study consisted of a retrospective review of a prospectively acquired videourodynamic database of 1142 consecutive women referred for evaluation of lower urinary tract symptoms (LUTS) or urinary incontinence from March 2007 to December 2012 and diagnosed with BOO...
October 9, 2017: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/28990346/risk-factors-for-resurgery-in-men-with-artificial-urinary-sphincter-role-of-urethral-strictures
#8
Paolo Traverso, Guglielmo Mantica, Fabio Gallo, Andrea Benelli, Davide Becco, Aldo Franco De Rose, Alchiede Simonato
OBJECTIVE: The aims of the present study were to evaluate the outcome of implantation of an artificial urinary sphincter (AUS) in male patients with iatrogenic urinary incontinence and to analyse possible risk factors for resurgery, with particular focus on the effects of posterior urethral strictures (US). METHODS: The outcomes of AUS implantation surgeries performed by 2 surgeons on consecutive patients between January 1999 and 2015 were evaluated retrospectively...
October 8, 2017: Lower Urinary Tract Symptoms
https://www.readbyqxmd.com/read/28986626/results-of-transurethral-resection-of-the-prostate-in-renal-transplant-recipients-a-single-center-experience
#9
Mehmet Sarier, Sabri Tekin, İbrahim Duman, Yucel Yuksel, Meltem Demir, Furkan Alptekinkaya, Mehmet Guler, Asuman Havva Yavuz, Alim Kosar
OBJECTIVES: The aim of this study was to retrospectively evaluate the early and long-term results of renal transplantation (RT) patients undergoing transurethral resection of the prostate (TURP) due to benign prostate hyperplasia (BPH). MATERIALS AND METHODS: Eighty-nine patients with RT performed in our hospital underwent TURP between November 2008 and March 2016. Results were evaluated along with early and long-term complications. Patients were followed up for a minimum of 12 months...
October 6, 2017: World Journal of Urology
https://www.readbyqxmd.com/read/28982617/ointment-fistulography-introducing-a-novel-technique-for-single-or-multiple-urethrocutaneous-fistula-diagnosis-after-hypospadias-surgery
#10
Sarah Mozafarpour, Abdol-Mohammad Kajbafzadeh, Reza Abbasioun, Ali Akbar Habibi, Behnam Nabavizadeh
INTRODUCTION AND OBJECTIVE: Hypospadias is a common congenital malformation of the male genital tract. The most frequent complication after hypospadias repair is urethrocutaneous fistula.(1) Its incidence has been reported up to 35% worldwide.(2) The diagnosis of these fistulas is sometimes challenging particularly with tiny and multiple fistulas. Usually, parents complain of urinary spraying, sprinkling, or passing a single stream of urine from the undersurface of the penis after the surgery...
August 2017: Urology
https://www.readbyqxmd.com/read/28979891/at1-expression-in-human-urethral-stricture-tissue
#11
Safendra Siregar, Aga Parardya, Jupiter Sibarani, Tjahjodjati Romdan, Kuncoro Adi, Bethy S Hernowo, Anglita Yantisetiasti
BACKGROUND: Urethral stricture has a high recurrence rate. There is a common doctrine stating that "once a stricture, always a stricture". This fibrotic disease pathophysiology, pathologically characterized by excessive production, deposition and contraction of extracellular matrix is unknown. Angiotensin II type 1 (AT1) receptor primarily induces angiogenesis, cellular proliferation and inflammatory responses. AT1 receptors are also expressed in the fibroblasts of hypertrophic scars, whereas angiotensin II (AngII) regulates DNA synthesis in hypertrophic scar fibroblasts through a negative cross talk between AT1 and angiotensin II type 2 (AT2) receptors, which might contribute to the formation and maturation of human hypertrophic scars...
2017: Research and Reports in Urology
https://www.readbyqxmd.com/read/28953722/phalloplasty-with-urethral-lengthening-addition-of-a-vascularized-bulbospongiosus-flap-from-vaginectomy-reduces-postoperative-urethral-complications
#12
Jonathan P Massie, Shane D Morrison, Stelios C Wilson, Curtis N Crane, Mang L Chen
BACKGROUND: Phalloplasty with urethral lengthening is the procedure of choice for female-to-male transgender patients who desire an aesthetic phallus and standing micturition, but is associated with complications, including urethral stricture and fistula formation. Horizontal urethra construction can be accomplished with labia minora flaps covered with additional vascularized layers of vestibular tissue when vaginectomy is performed concomitantly with phalloplasty. However, vaginectomy is not a requisite step in phalloplasty, and some individuals may choose to retain their vagina...
October 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28917023/a-new-modification-of-the-duckett-technique-for-one-stage-repairing-urethral-plate-transected-hypospadias-another-option-for-severe-hypospadias
#13
Li-Qu Huang, Yun-Fei Guo, Zheng Ge, Ru-Gang Lu, Yong-Ji Deng, Geng Ma, Fang Chen
OBJECTIVES: The study aimed to evaluate the new modification of the Duckett technique in decreasing the incidence of urethral strictures for urethral plate transected hypospadias and also explored its clinical application. METHODS: Thirty-three patients (aged 7 months to 12 years, mean age 2.8 years) who underwent repair of primary hypospadias using the new one-stage urethroplasty were enrolled. Clinical data, including cosmetic and its complications, and uroflowmetry data were documented...
September 15, 2017: International Urology and Nephrology
https://www.readbyqxmd.com/read/28913706/novel-pericatheter-retrograde-urethrogram-technique-is-a-viable-method-for-postoperative-urethroplasty-imaging
#14
Rachael D Sussman, F Cameron Hill, George E Koch, Versha Patel, Krishnan Venkatesan
PURPOSE: The purpose of this study is to describe our technique for pericatheter retrograde urethrogram (pcRUG) and to evaluate the utility of a pcRUG to detect a clinically significant leak after urethral reconstruction. METHODS: We retrospectively reviewed our prospective IRB-approved database of patients undergoing urethral reconstruction. pcRUG was performed at 3-4 weeks after surgery, in standardized fashion. Patients were placed in oblique position, and with the penis stretched, diluted contrast was instilled via an angiocatheter alongside the indwelling urethral catheter under dynamic fluoroscopy...
September 14, 2017: International Urology and Nephrology
https://www.readbyqxmd.com/read/28905776/re-improving-outcomes-of-bulbomembranous-urethroplasty-for-radiation-induced-urethral-strictures-in-post-urolume-era
#15
Allen F Morey
No abstract text is available yet for this article.
October 2017: Journal of Urology
https://www.readbyqxmd.com/read/28905775/re-incidence-of-urethral-stricture-in-patients-with-spinal-cord-injury-treated-with-clean-intermittent-self-catheterization
#16
Allen F Morey
No abstract text is available yet for this article.
October 2017: Journal of Urology
https://www.readbyqxmd.com/read/28905747/re-analysis-of-risk-factors-leading-to-postoperative-urethral-stricture-and-bladder-neck-contracture-following-transurethral-resection-of-prostate
#17
Steven A Kaplan
No abstract text is available yet for this article.
October 2017: Journal of Urology
https://www.readbyqxmd.com/read/28904925/a-rare-case-of-transvesical-cesarean-section
#18
Sunil Kumar Juneja, Pooja Tandon, Bakul Kochhar, Harman Deep Singh, Bhanupriya Sharma
Cesarean section, also commonly known as C-section, is a surgical procedure in which incision is made through a mother's abdomen and uterus to deliver one or more babies. According to urgency, they are classified either as elective or emergency. According to technique, they have been classified as classical, lower uterine segment and cesarean hysterectomy. Intentional transvesical cesarean though not a routinely practiced technique is used for delivery in women born with imperforate anus, ectopic intravaginal urethra, vaginal and urethral strictures, and bladder adherent completely over the uterus...
July 2017: International Journal of Applied and Basic Medical Research
https://www.readbyqxmd.com/read/28902866/5-year-long-term-efficacy-of-120-w-greenlight-photoselective-vaporization-of-the-prostate-for-benign-prostate-hyperplasia
#19
Juhyun Park, Sung Yong Cho, Min Chul Cho, Hyeon Jeong, Hwancheol Son
PURPOSE: To investigate 5-year long-term postoperative efficacy in benign prostate hyperplasia (BPH) following 120-W GreenLight high-performance system photoselective vaporization of the prostate (HPS-PVP). METHODS: This was a retrospective study of surgical outcomes in 159 men who underwent HPS-PVP and were followed over 60 months postoperatively. Definitions of treatment success were established based on the following three variables: international prostate symptom scores (IPSS), maximum flow rates (Qmax), and quality of life scores QoL)...
2017: PloS One
https://www.readbyqxmd.com/read/28899769/incidence-and-predictors-of-complications-due-to-urethral-stricture-in-patients-awaiting-urethroplasty
#20
Nathan Y Hoy, David W Chapman, Nicholas Dean, Keith F Rourke
PURPOSE: The purpose of this study is to examine the incidence and predictors of complications due to urethral stricture in patients awaiting urethroplasty. METHODS AND METHODS: A retrospective chart review of patients undergoing urethroplasty from 2009-2013 was performed. The primary outcome was complications, defined as any unplanned interaction with the health care system due to the urethral stricture during the period between decision for surgery and urethroplasty...
September 9, 2017: Journal of Urology
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