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Ahmed Aljuhayman, Abdulmalik Addar, Ahmed Allohidan, Abdullah Alkhayal
No abstract text is available yet for this article.
May 2018: Urology Case Reports
Allen F Morey
No abstract text is available yet for this article.
June 2018: Journal of Urology
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
Jason Gandhi, Omar Seyam, Noel L Smith, Gunjan Joshi, Sohrab Vatsia, Sardar Ali Khan
Hyperbaric oxygen therapy (HBOT) is a medical technique which delivers oxygen at ambient pressures to increase the amount of dissolved oxygen in the blood and oxygen distribution to tissues. There are several beneficial properties of HBOT concomitant with elevated oxygen distribution in tissue including anti-inflammation, angiogenesis through vascular endothelial growth factor proliferation, augmented fibroblast activity through fibroblast growth factor proliferation, tissue and wound repair, enhancement of lymphocyte and macrophage activity, increased male testosterone secretion, and bactericidal activity...
January 2018: Medical Gas Research
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
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
Lin Wang, Hui-Quan Shu, Chong-Rui Jin, Jie Gu, Ying-Long Sa
Penoscrotal transposition and pendulous-prostatic anastomotic urethroplasty for the treatment of long-segment bulbar and membranous urethral stenosis is rarely reported. This study reports the case of a 43-year-old man with dysuria resulting from pelvic fracture. The patient had a long-term history of multiple urethral reconstructions and presented a long-segment bulbar and membranous urethral stenosis at imaging. Penoscrotal transposition and pendulous-prostatic anastomotic urethroplasty was performed and completed in 170 min (blood loss: 400 ml)...
May 1, 2018: American Journal of Men's Health
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
Li Cheng, Sen Li, Zicheng Wang, Bingwei Huang, Jian Lin
The treatment of urethral strictures remains a challenging field in urology even though there are a variety of procedures to treat it at present, as no one approach is superior over another. This paper reviewed the surgical options for the management of different sites and types of anterior urethral stricture, providing a brief discussion of the controversies regarding this issue and suggesting possible future advancements. Among the existing procedures, simple dilation and direct vision internal urethrotomy are more commonly used for short urethral strictures ( <1 cm, soft and no previous intervention)...
April 2018: Asian Journal of Urology
Sanjay Balwant Kulkarni, Omkar Vinay Joglekar, Mohammad Alkandari, Pankaj Mangalkumar Joshi
Anterior urethral strictures include penile, bulbar and panurethral strictures. In the literature various techniques have been mentioned for their management from single stage to two-stage approach. There are no guidelines concerning the use of dorsal or ventral approaches in bulbar urethroplasty. We share our simplified algorithm for the management of anterior urethral strictures. This algorithm is based on the last three decades of experience in urethroplasty and surgeries all around the globe.
May 2018: Turkish Journal of Urology
Shyam Sukumar, Sean P Elliott, Jeremy B Myers, Bryan B Voelzke, Thomas G Smith, Alexandra Mc Carolan, Michael Maidaa, Alex J Vanni, Benjamin N Breyer, Bradley A Erickson
PURPOSE: Approximately 10-20% of patients will have a recurrence after urethroplasty. Initial management of these recurrences is often with urethral dilation (UD) or direct vision internal urethrotomy (DVIU). In the current study, we describe outcomes of endoscopic management of stricture recurrence after bulbar urethroplasty. MATERIALS AND METHODS: We retrospectively reviewed bulbar urethroplasty data from 5 surgeons from the Trauma and Urologic Reconstruction Network of Surgeons...
May 3, 2018: Journal of Urology
Fei-Wu Song, Du-Miao Li, Ya-Li Xu, He Huang, Xing-He Chen
Objective: To investigate the clinical effect of modified Snodgrass surgical technique in the treatment of hypospadias. METHODS: We retrospectively analyzed the clinical data about 212 cases of hypospadias treated by urethroplasty from January 2008 to October 2016, 94 with the modified Snodgrass technique, namely with a silk line in addition to the urethral suture to make easier postoperative removal of the suture (group A), and the other 118 with the conventional Snodgrass technique (group B)...
October 2017: Zhonghua Nan Ke Xue, National Journal of Andrology
Shahbaz Mehmood, Omer Abdulaziz Alsulaiman, Waleed Mohammad Al Taweel
Purpose: We present our success rate and complications of delayed anastomotic urethroplasty (DAU) in patients with post-traumatic posterior urethral injury. Materials and Methods: This was a retrospective study of patients aged ≥17 years that underwent DAU for post-traumatic posterior urethral injury during 2010-2014. Stricture length was measured by ascending and descending urethrogram. Success of procedure was considered when the patient was free of stricture-ralated obstruction and needed no further intervention...
April 2018: Urology Annals
Inga Kunz, Michael Musch, Anne Vogel, Mirko Maek, Ulla Roggenbuck, Susanne Krege, Darko Kroepfl
INTRODUCTION: We report the results of augmented anastomotic repair (AAR) in the treatment of anterior urethral strictures. MATERIAL AND METHODS: In this retrospective study, we evaluated 71 consecutive patients who had undergone AAR between June 2004 and June 2013. Medical records were reviewed to identify early postoperative complications based on the Clavien-Dindo classification (CDC). Self-developed standardized questionnaires sent to the patients and referring urologists were used to collect data on late complications (>90) days...
May 2, 2018: Urologia Internationalis
Wei Ru, Jing Shen, Daxing Tang, Shan Xu, Dehua Wu, Chang Tao, Guangjie Chen, Lei Gao, Xiaohao Wang, Yiding Shen
OBJECTIVES: To find a new appropriate evaluation for urethral plate quality in hypospadias repair, with particular interest in the width proportion of the urethral plate to the glans, serving as an appraisal index. METHODS: Data were prospectively collected from prepubertal boys who underwent primary tubularized incised plate hypospadias repair between January 2014 and April 2016 in one center. Intrinsic parameters of the penis (meatal location, glans width, urethral plate width and curvature degree) were measured during the operation...
May 1, 2018: International Journal of Urology: Official Journal of the Japanese Urological Association
Tarryn Gabler, Robyn Charlton, Jerome Loveland, Ellen Mapunda
Congenital aphallia is a rare anomaly with little supporting literature and controversial management. The aim of this review is to assess the most recent literature with a focus on staged management of these cases. We performed a PubMed search of all English literature in the past 10 years using the term aphallia. Twenty-three articles were identified of which six were excluded. A further three papers meeting our criteria were found in the references to papers initially identified. We found that management can be staged in three phases: short, intermediate and long-term...
April 20, 2018: Pediatric Surgery International
R B Aldamanhori, N I Osman, R D Inman, C R Chapple
PURPOSE: Adults with complications of childhood hypospadias surgery, present a significant reconstructive challenge due to the combination of anatomical and cosmetic deformity, which often results in major functional and psychosexual sequelae. We describe the surgical approach and outcomes in the treatment of those patients. MATERIALS AND METHODS: An analysis of prospectively collected data on 79 adults with complications of childhood hypospadias surgery, who were operated on between 2004-2016, was undertaken...
April 19, 2018: BJU International
Nikolaos Mertziotis, Andreas Konandreas, Christos Kyratsas
Purpose: To present a modified technique of managing extensive penile urethral strictures with dorsal and ventral onlay buccal mucosa grafts. Patients and Methods: From October 2014 to January 2016, a total of 12 patients underwent urethroplasty for penile urethral strictures, using dorsal and ventral onlay grafts from buccal mucosa. The mean age was 42.75 (17-71). All patients completed the IPSS and QoL questionnaire, and uroflowmetry was done preoperatively. After surgery, the follow-up included completion of IPSS and QoL questionnaire and measuring of uroflow at 1, 3, 6, and 12 months...
2018: Advances in Urology
Michael Daneshvar, Michael Hughes, Dmitriy Nikolavsky
PURPOSE OF REVIEW: Urethral reconstruction has evolved in the last several decades with the introduction of various techniques including fasciocutaneous skin flaps and buccal mucosal grafts. However, distal urethral strictures have continued to be a reconstructive challenge due to tendency for adverse cosmetic outcomes, risks of glans dehiscence or fistula formation, and stricture recurrence. RECENT FINDINGS: The surgical options for treatment of distal urethral strictures have changed throughout the years; however, there is no one universally accepted technique for their treatment...
April 17, 2018: Current Urology Reports
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