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Urethral stricture

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https://www.readbyqxmd.com/read/29907547/interrupted-versus-continuous-suturing-for-vesicourethral-anastomosis-during-radical-prostatectomy-a-systematic-review-and-meta-analysis
#1
REVIEW
Karl F Kowalewski, Christian Tapking, Svetlana Hetjens, Felix Nickel, Philipp Mandel, Philipp Nuhn, Manuel Ritter, Judd W Moul, Joachim W Thüroff, Maximilian C Kriegmair
CONTEXT: Vesicourethral anastomosis (VUA) is a crucial step during radical prostatectomy (RP). Generally, either a continuous (CS) or an interrupted suture (IS) is used. However, there is no clear evidence if one technique is superior to the other. OBJECTIVE: This study aimed to provide a systematic overview and comparison between IS and CS for the VUA during RP. EVIDENCE ACQUISITION: The study was conducting according to the PRISMA guidelines...
June 12, 2018: European Urology Focus
https://www.readbyqxmd.com/read/29900821/urethral-lichen-sclerosus-under-the-microscope-a-survey-of-academic-pathologists
#2
Bradley A Erickson, Brennan A Tesdahl, Maria A Voznesensky, Benjamin N Breyer, Bryan B Voelzke, Nejd F Alsikafi, Alex J Vanni, Joshua A Broghammer, Jill C Buckley, Jeremy B Myers, William O Brant, Lee C Zhao, Thomas G Smith Iii, Brian L Swick, Laila Dahmoush
INTRODUCTION: Given the poor understanding of the pathophysiology of genital lichen sclerosus (GLS) and a lack of accepted definitive diagnostic criteria, we proposed to survey pathologists regarding their understanding of GLS. We hypothesized that significant disagreement about GLS will exist. MATERIALS AND METHODS: All urologists participating in the Trauma and Urologic Reconstruction Network of Surgeons identified genitourinary (GUP) and dermatopathologists (DP) at their respective institutions who were then invited to participate in an online survey regarding their experience with diagnosing GLS, GLS pathophysiology and its relationship to urethral stricture disease...
June 2018: Canadian Journal of Urology
https://www.readbyqxmd.com/read/29898866/back-to-the-future-the-cecil-culp-technique-for-salvage-penile-reconstructive-procedures
#3
D A Weiss, C J Long, J R Frazier, A R Shukla, A K Srinivasan, T F Kolon, H DiCarlo, J P Gearhart, D A Canning
INTRODUCTION: Re-operative penile reconstruction is challenging and requires tension-free skin closure. The repair popularized by Cecil and Culp in the 1940s, using the scrotum to provide a temporary vascularized bed for complex hypospadias repairs, fell out of favor due to temporal trends towards single-stage repairs and concern for utilizing hair-bearing skin on the penile shaft. OBJECTIVE: It was hypothesized that a modified Cecil-Culp (CC) concept of penile scrotalization, leaving the penis attached to the scrotum for 1 year rather than 6 weeks as originally described, improves outcomes with this reconstruction for ventral skin deficiency or poor vascular support...
May 30, 2018: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/29898381/a-simplified-adult-acquired-buried-penis-repair-classification-system-with-an-analysis-of-perioperative-complications-and-urethral-stricture-disease-%C3%A2-%C3%A2-%C3%A2
#4
Joseph J Pariser, Omar E Soto-Aviles, Brandi Miller, Maha Husainat, Richard A Santucci
OBJECTIVES: To propose a simple classification system for buried penis repairs and present an analysis of perioperative data based on category. METHODS: Patients undergoing buried penis repair at a single institution were examined. Classification was as follows: Category I - Penile Unburying with Local Flap; II - Skin Graft; III - Scrotal Surgery; IV - Escutcheonectomy; V - Abdominal Panniculectomy. Complex repairs were Category III or above. Success was defined as an unburied penis without additional unburying surgery...
June 10, 2018: Urology
https://www.readbyqxmd.com/read/29892491/war-related-penile-injuries-in-libya-single-institution-experience
#5
Abdalla M Etabbal, Fathi F Hussain, Mohamed O Benkhadoura, Abdalla M Banni
Objective: To report on our initial experience in the management of war-related penile injuries; proper diagnosis and immediate treatment of penile injuries is essential to gain satisfactory results. Besides treating primary wounds and restoring penile function, the cosmetic result is also an important issue for the surgeon. Patients and methods: The study was conducted in the Department of Urology at Benghazi Medical Center and comprised all patients who presented with a shotgun, gunshot or explosive penile injury between February 2011 and August 2017...
June 2018: Arab Journal of Urology
https://www.readbyqxmd.com/read/29892487/twin-penile-skin-flap-is-it-the-answer-for-repair-of-long-anterior-urethral-strictures
#6
Diaaeldin Mostafa, Hisham Elshawaf, M Kotb, Abdelwahab Elkassaby
Objective: To present our twin ventral penile skin flap technique for the management of complex long anterior urethral strictures not caused by lichen sclerosis (LS), with evaluation of surgical outcome and complications. Patients and methods: We retrospectively reviewed patients diagnosed with long complex anterior urethral strictures who were all referred to Ain Shams University hospital and operated on by three reconstructive surgeons. The surgical procedure was carried out as follows: exposure of the urethra through a ventral longitudinal penile skin incision and another perineal incision; two ventral longitudinal dartos-based penile skin flaps are used for urethral augmentation as onlay flaps...
June 2018: Arab Journal of Urology
https://www.readbyqxmd.com/read/29892485/re-repair-of-pan-urethral-stricture-proximal-ventral-and-distal-dorsal-onlay-technique-of-buccal-mucosal-graft-urethroplasty-by-subbarao-chodisetti-yogesh-boddepalli-malakondareddy-kota
#7
EDITORIAL
https://www.readbyqxmd.com/read/29890517/endoscopic-mucosal-autograft-for-treating-esophageal-caustic-strictures-preliminary-human-experience
#8
Kexin He, Lili Zhao, Shoushan Bu, Li Liu, Xiang Wang, Min Wang, Zhining Fan
 Esophageal caustic stricture is a stubborn disease and postoperative restenosis limits the clinical efficacy of endoscopic dilation. Autologous mucosal grafts have been successfully applied in the treatment of urethral stricture and in the prevention of stricture after extensive mucosal resection. We aimed to use mucosal autografting performed endoscopically to treat refractory esophageal stricture. METHODS : Three patients with intractable corrosive esophageal stricture were treated endoscopically by combining dilation with autologous mucosal transplantation...
June 11, 2018: Endoscopy
https://www.readbyqxmd.com/read/29886468/-causes-and-management-for-male-urethral-stricture
#9
Caifang Chen, Mingqiang Zeng, Ruizhi Xue, Guilin Wang, Zhiyong Gao, Wuxiong Yuan, Zhengyan Tang
To explore the etiology of male urethral stricture, analyze the therapeutic strategies of urethral stricture, and summarize the complicated cases.
 Methods: The data of 183 patients with urethral stricture were retrospectively analyzed, including etiology, obstruction site, stricture length, therapeutic strategy, and related complications.
 Results: The mean age was 49.7 years, the average course was 64.7 months, and the constituent ratio of 51 to 65 years old patients was 38.8% (71/183). The traumatic injury of patients accounted for 52...
May 28, 2018: Zhong Nan da Xue Xue Bao. Yi Xue Ban, Journal of Central South University. Medical Sciences
https://www.readbyqxmd.com/read/29876152/a-case-report-of-scrotal-squamous-cell-carcinoma-secondary-to-chronic-urinary-irritation
#10
Mohamed Ali Essid, Abderrazak Bouzouita, Ahmed Saadi, Ahlem Blel, Kays Chaker, Marouen Chakroun, Haroun Ayed, Mohamed Cherif, Soumaya Rammah, Mohamed Riadh Ben Slama, Amine Derouiche, Mohamed Chebil
Most scrotum cancers are associated with occupational exposure. We report a case of a squamous cell carcinoma of the scrotum in a patient with a proximal meatus, secondary to mistreated urethral stricture. Based on our observations in this case, we think that chronic urinary inflammation of the scrotal skin may also be considered as a risk factor of scrotal cancer.
April 5, 2018: Curēus
https://www.readbyqxmd.com/read/29850566/rapamycin-inhibits-the-growth-and-collagen-production-of-fibroblasts-derived-from-human-urethral-scar-tissue
#11
Delai Fu, Jian Yin, Shanlong Huang, Hecheng Li, Zhaolun Li, Tie Chong
Rapamycin can inhibit fibroblast proliferation, collagen accumulation, and urethral stricture in rabbits. Transforming growth factor-beta-1 (TGF- β 1) signaling, with downstream recruitment of Smad2, is known to promote fibrosis. This in vitro study examined the effects of rapamycin on fibroblasts derived from human urethral scar tissue (FHUS) and investigated the possible mechanism with respect to regulation of TGF- β 1 signaling. FHUS were cultured from urethral scar tissues collected from four patients with urethral stricture...
2018: BioMed Research International
https://www.readbyqxmd.com/read/29806365/-application-of-buccal-mucosa-with-snodgrass-procedure-for-repair-of-hypospadias
#12
Bing Liu, Di Wang, Zhe Yang, Yong Tang, Yangqun Li, Wen Chen
Objective: To present method and experiences in using the buccal mucosa with the Snodgrass procedure for repair of hypospadias. Methods: Between August 2012 and April 2015, 55 boys with hypospadias were treated with Snodgrass procedure combined with buccal mucosa. The age ranged from 1 to 7 years (mean, 4 years). There were 32 cases of distal penile type, 14 cases of proximal penile type, and 9 cases of coronal sulcus type. The buccal mucosa taking from inner cheek was fixed into the incised urethral plate...
January 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/29804080/foreign-body-urethra-misdiagnosed-as-stricture-leading-to-inadequate-management-and-prolonged-treatment-duration-a-lesson-to-learn
#13
Deepanshu Sharma, Siddharth Pandey, Gaurav Garg, Satyanarayan Sankhwar
Misdiagnosis of a urethral foreign body (FB) as urethral stricture leads to inadequate management and prolonged treatment duration. A 55-year-old male patient was referred with complaints of difficulty in voiding and poor urinary stream for 2 months. He initially presented at a primary healthcare centre and was misdiagnosed as urethral stricture and was scheduled for urethroplasty. Surprisingly, intraoperative cystourethroscopy performed by us revealed that the urethra had been obstructed by an FB. The FB was gently pushed into the bladder and retrieved...
May 26, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29774434/patient-reported-outcome-measures-in-urethral-reconstruction
#14
REVIEW
Nima Baradaran, Lindsay A Hampson, Todd C Edwards, Bryan B Voelzke, Benjamin N Breyer
PURPOSE OF REVIEW: Treatment of anterior urethral stricture disease (USD) has shifted from endoscopic approaches to urethroplasty with significantly higher success rates among reconstructive urologists. This academic stance has led to a critical evaluation of "success" and developing disease-specific instruments to assess surgical outcomes focusing on patients' satisfaction rather than the historical goal of avoiding secondary procedures. RECENT FINDINGS: Many disease non-specific and/or non-validated patient-reported outcome measures (PROMs) have been utilized to evaluate the voiding symptoms and sexual of function of patients after urethroplasty in the literature...
May 17, 2018: Current Urology Reports
https://www.readbyqxmd.com/read/29751026/urethroplasty-after-urethral-urolume-stent-an-international-multicenter-experience
#15
Javier C Angulo, Sanjay Kulkarni, Joshi Pankaj, Dmitriy Nikolavsky, Pedro Suarez, Javier Belinky, Ramón Virasoro, Jessica DeLong, Francisco E Martins, Nicolaas Lumen, Carlos Giudice, Oscar A Suárez, Nicolás Menéndez, Leandro Capiel, Damian López-Alvarado, Erick A Ramirez, Krishnan Venkatesan, Maha M Husainat, Cristina Esquinas, Ignacio Arance, Reynaldo Gómez, Richard Santucci
PURPOSE: To evaluate the outcomes and factors affecting success of urethroplasty in patients with stricture recurrence after Urolume® urethral stent. MATERIAL & METHODS: Retrospective international multicenter study on patients treated with urethral reconstruction after Urolume® stent. Stricture and stent length, time between urethral stent insertion and urethroplasty, age, mode of stent retrieval, type of urethroplasty, complications and baseline and post-urethroplasty voiding parameters were analyzed...
May 8, 2018: Urology
https://www.readbyqxmd.com/read/29749775/the-use-of-tiemann-tip-catheters-for-male-intermittent-self-catheterisation
#16
Maggie Rew, Helen Lake, Kayleigh Brownlee-Moore
Male catheterisation can be difficult to perform, especially in patients with an enlarged prostate gland or other potentially obstructive conditions in the lower urinary tract. Repeated and unsuccessful catheterisations, as well as causing trauma, pain and distress, can cause other conditions such as urethral strictures and 'false passages' (when the catheter is pushed through the urethral wall instead of passing down the urethra), which then require more costly interventions to correct. With an increasingly ageing population these complications are expected to rise, putting added strain on an already stretched health service...
May 10, 2018: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29744480/technique-for-single-stage-reconstruction-of-obliterative-or-near-obliterative-long-urethral-strictures-in-circumcised-patients
#17
Sher Singh Yadav, Vivek Kumar Singh, Vinay Tomar, Neeraj Agarwal, Anil Gulani
Purpose: To report our initial experience with urethral reconstruction using a combined dorsal lingual mucosal graft (LMG) and ventral onlay preputial flap for long obliterative or near-obliterative strictures in circumcised patients. Materials and Methods: This was a retrospective study of 10 patients from January 2015 to June 2017 with long obliterative or near-obliterative anterior urethral strictures and circumcised prepuces. All patients underwent a combined approach using a dorsally LMG and a narrow preputial onlay flap ventrally to create a 26-30 Fr...
May 2018: Investigative and Clinical Urology
https://www.readbyqxmd.com/read/29744471/outcomes-of-salvage-radical-prostatectomy-following-more-than-one-failed-local-therapy
#18
Arjun Sivaraman, Peter Scardino, James Eastham
Purpose: To describe the salvage radical prostatectomy (sRP) experience in patients presenting with recurrent, clinically localized prostate cancer after multiple failed local treatments. Materials and Methods: Among the 251 sRP performed during 2000-2016, 11 patients had failed multiple local therapies. We describe baseline clinical characteristics at primary cancer diagnosis and prior to sRP, surgical information, complications and oncological outcomes. Results: The mean±standard deviation age at sRP was 65±5 years and the median (interquartile range) serum prostate-specific antigen (PSA) level was 2 (1...
May 2018: Investigative and Clinical Urology
https://www.readbyqxmd.com/read/29738178/-thulium-laser-vaporization-versus-transurethral-resection-of-the-prostate-and-risk-factors-for-postoperative-urethral-stricture
#19
Wen Song, Tao Wang, Qing Ling, Xia-Ming Liu, Zhong Chen, Xiao-Dong Song, Xiao-Lin Guo, Qian-Yuan Zhuang, Shao-Gang Wang, Ji-Hong Liu
Objective: To compare thulium laser vaporization of the prostate (TLVP) and transurethral resection of the prostate (TURP) in the treatment of benign prostate hyperplasia (BPH) analyze the risk factors for postoperative urethral stricture. METHODS: From June 2015 to June 2016, 210 BPH patients in our hospital underwent TURP (n = 126) or TLVP (n = 84). We followed up the patients for 6 months, compared the effects of the two surgical strategies and analyzed the risk factors for postoperative urethral stricture by multivariate logistic regression analysis...
December 2017: Zhonghua Nan Ke Xue, National Journal of Andrology
https://www.readbyqxmd.com/read/29736373/management-of-complex-and-redo-cases-of-pelvic-fracture-urethral-injuries
#20
Sanjay B Kulkarni, Sandesh Surana, Devang J Desai, Hazem Orabi, Subramanian Iyer, Jyotsna Kulkarni, Ajit Dumawat, Pankaj M Joshi
Objectives: Pelvic fracture urethral injuries (PFUI) result from traumatic disruption of the urethra. A significant proportion of cases are complex rendering their management challenging. We described management strategies for eight different complex PFUI scenarios. Methods: Our centre is a tertiary referral centre for complex PFUI cases. We maintain a prospective database (1995-2016), which we retrospectively analysed. All patients with PFUI managed at our institute were included...
April 2018: Asian Journal of Urology
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