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Lin Wang, Xiangguo Lv, Chongrui Jin, Hailin Guo, Huiquan Shu, Qiang Fu, Yinglong Sa
OBJECTIVE: To develop a standardized PU-score (posterior urethral stenosis score), with the goal of using this scoring system as a preliminary predictor of surgical complexity and prognosis of posterior urethral stenosis. PATIENTS AND METHODS: We retrospectively reviewed records of all patients who underwent posterior urethral surgery at our institution from 2013 to 2015. The PU-score is based on five components, namely etiology (1 or 2 points), location (1 to 3 points), length (1 to 3 points), urethral fistula (1 or 2 points) and posterior urethral false passage (1 point)...
September 21, 2017: Urology
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
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
Allen F Morey
No abstract text is available yet for this article.
October 2017: Journal of Urology
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
Kenan Oztorun, Sahin Bagbanci, Mumtaz Dadali, Levent Emir, Ayhan Karabulut
OBJECTIVE: We aimed to identify the changes in the application rate of two surgical techniques in distal hypospadias repair in years and compare the most popular two surgical repair techniques for distal hypospadias in terms of surgical outcomes, the factors that affect the outcomes, which were performed over a 20 year period. METHODS: In this study, the records of 492 consecutive patients that had undergone an operation for distal hypospadias in the urology clinic of Ankara between May 1990 and December 2010 using either Mathieu or TIPU surgical techniques were reviewed retrospectively...
September 2017: Archivos Españoles de Urología
A O Obi
OBJECTIVE: To share our experience on the presentation and management of short segment bulbar urethral strictures (BUSs) in a resource-poor center. METHODS: Short segment bulbar urethral strictures (BUSs) managed from January 2009 to December 2014 were analyzed. Patients'age, stricture aetiology, mode of presentation, stricture characteristics, time to surgery, associated morbidity, operative procedure, and post-operative outcome were reviewed. All patients had bulbar anastomotic urethroplasty (BAU)...
August 2017: Nigerian Journal of Clinical Practice
Dharwadkar Sachin, Manohar ChikkaMoga Siddaiah, Karthikeyan Vilvapathy Senguttuvan, Ratkal Chandrashekar Sidaramappa, Keshavamurthy Ramaiah
PURPOSE: De novo erectile dysfunction (ED) is a known complication after urethroplasty. Incidence and natural history of de novo ED after urethroplasty is underreported. We assessed the incidence of de novo ED after urethroplasty. MATERIALS AND METHODS: Consecutive consenting urethroplasty (n=48) patients aged 21 to 50 years from February 2014 to July 2016 with normal preoperative erectile function as determined by an International Index of Erectile Function-5 (IIEF-5) score ≥22 were included and interviewed at 3, 6, and 12 months...
August 2017: World Journal of Men's Health
Akio Horiguchi, Masayuki Shinchi, Ayako Masunaga, Keiichi Ito, Tomohiko Asano, Ryuichi Azuma
PURPOSE: We examined the impact on urethral stricture complexity at urethroplasty of previous transurethral treatments such as dilation, urethrotomy, and stenting which are used most commonly when treating male urethral stricture. PATIENTS AND METHODS: We retrospectively reviewed the records of 45 males who had undergone transurethral treatments before urethroplasty and compared their urethrography findings at initial diagnosis with those at urethroplasty. Males with failed hypospadias repair, lichen sclerosis, or history of prior urethroplasty were excluded...
August 30, 2017: Journal of Urology
Jeffrey Spencer, Stephen Blakely, Michael Daugherty, Javier C Angulo, Francisco Martins, Krishnan Venkatesan, Dmitriy Nikolavsky
OBJECTIVES: To evaluate clinical and patient-reported urinary and sexual outcomes after a long-segment stricture repair using the one-sided urethral dissection, penile invagination and dorsal BMG onlay technique described by Kulkarni. METHODS: Patients from four institutions after single-stage repairs for long-segment urethral strictures (> 8 cm) from January 2002 to April 2016 were reviewed. Technique described by Kulkarni et al was used in all cases. Clinical outcomes included uroflowmetry (Qmax), post-void residuals (PVR)...
August 29, 2017: Urology
Hemant R Pathak, Tarunkumar Prakash Jain, Sachin A Bhujbal, Kunal R Meshram, Chetan Gadekar, Sandesh Parab
OBJECTIVE: To compare long- term outcomes of buccal mucosa graft (BMG) augmentation urethroplasty for long segment bulbar urethral strictures done by placing the graft ventrally, dorso-laterally and dorsally. MATERIAL AND METHODS: We conducted a single institution retrospective study on 112 who underwent BMG augmentation urethroplasty for non-traumatic bulbar urethral strictures between January 2005 to December 2014. The cases were divided into three groups based on the site of placement of BMG graft i...
September 2017: Turkish Journal of Urology
Rajay Rampersad, Yoke Lin Nyo, John Hutson, Mike O'Brien, Yves Heloury
PURPOSE: The purpose of the study was to determine if there were differences in the complication rates between foreskin reconstruction (FR) and circumcision (CIRC) in distal hypospadias repairs. The primary outcomes were urethrocutaneous fistula (UF) and dehiscence. METHODS: The data of distal hypospadias operated between 2005 and 2013 were retrospectively reviewed. The inclusion criteria were any distal hypospadias repair that required an urethroplasty. The exclusion criteria were follow-up <1 year, redo procedures, chordee greater than 20°, and incomplete data...
August 30, 2017: Pediatric Surgery International
Kasonde Bowa, Eliakim Manda
Urethral stricture disease is the commonest cause of morbidity in urology practice in sub-Saharan Africa. In contrast, prostate disease is commonly cited as the leading cause of urological disease in most urology practices in developed countries. In Africa, the aetiology of urethral stricture disease is compounded by a high prevalence of sexually transmitted infections (STIs), increasing levels of urethral trauma and over-stretched urological services. Thus, patients with prostate disease are treated with long-stay urethral catheters for periods often up to two years...
January 1, 2017: Tropical Doctor
C M Rosenbaum, L Ernst, O Engel, R Dahlem, M Fisch, L A Kluth
Urethral strictures can occur on the basis of trauma, infections, iatrogenic-induced or idiopathic and have a great influence on the patient's quality of life. The current prevalence rate of male urethral strictures is 0.6% in industrialized western countries. The favored form of treatment has experienced a transition from less invasive interventions, such as urethrotomy or urethral dilatation, to more complex open surgical reconstruction. Excision and primary end-to-end anastomosis and buccal mucosa graft urethroplasty are the most frequently applied interventions with success rates of more than 80%...
August 22, 2017: Der Urologe. Ausg. A
Boyd R Viers, Travis J Pagliara, Nabeel A Shakir, Charles A Rew, Lauren Folgosa-Cooley, Jeremy M Scott, Allen F Morey
PURPOSE: Prior to urethral reconstruction, many stricture patients undergo a variable period during which endoscopic treatments are employed for recurrent obstructive symptoms. We evaluate the association between urethroplasty delay, endoscopic treatments, and subsequent reconstructive outcomes. MATERIALS AND METHODS: We reviewed men undergoing primary bulbar urethroplasty from 2007-2014. Prior urethroplasty, penile and/or membranous strictures, and cases with incomplete data were excluded...
August 18, 2017: Journal of Urology
Gouya Ram-Liebig, Guido Barbagli, Axel Heidenreich, Dirk Fahlenkamp, Giuseppe Romano, Udo Rebmann, Diana Standhaft, Hermann van Ahlen, Samer Schakaki, Ulf Balsmeyer, Maria-Elsa Spiegeler, Helmut Knispel
BACKGROUND: Harvest of oral mucosa for urethroplasty due to urethral stricture is associated with donor-site-morbidity. We assessed functionality and safety of an authorized tissue-engineered oral mucosa graft (TEOMG) under routine practice in stricture recurrences of any etiology, location, length and severity (real-world data). METHODS: 99 patients from eight centers with heterogenous urethroplasty experience levels were included in this prospective, non-interventional observational study...
August 16, 2017: EBioMedicine
Jin Hongyong, Chen Shuzhu, Wu Min, Ye Weijing, Liu Yidong
OBJECTIVE: The purpose of this study was to compare the outcomes of the buccal mucosa and lingual mucosa used in children who received multiple failed hypospadias surgeries. METHOD: We conducted a retrospective study of 62 children who received buccal or lingual mucosa graft urethroplasty in our hospital between 2012 and 2015. The ages ranged from 3.5-11 y. All cases included multiple failed hypospadias procedures, and the subjects received previous operations 2-3 times...
2017: PloS One
Devin N Patel, Cynthia S Fok, George D Webster, Jennifer T Anger
OBJECTIVES: To systematically review the literature of female urethral injuries associated with pelvic fracture and determine optimal management of this rare injury. MATERIALS AND METHODS: Using Meta-analysis Of Observational Studies in Epidemiology criteria, we searched Cochrane, Pubmed and OVID databases for all articles available before June 30, 2016 using the terms "female pelvic fracture urethroplasty," "female urethral distraction," "female pelvic fracture urethral injury," "female pelvic fracture urethra girls...
August 14, 2017: BJU International
Helen L Nicholson, Yasser Al-Hakeem, Javier J Maldonado, Vincent Tse
The aim of this review is to examine all urethral strictures and stenoses subsequent to treatment for prostate cancer, including radical prostatectomy (RP), radiotherapy, high intensity focused ultrasound (HIFU) and cryotherapy. The overall majority respond to endoscopic treatment, including dilatation, direct visual internal urethrotomy (DVIU) or bladder neck incision (BNI). There are adjunct treatments to endoscopic management, including injections of corticosteroids and mitomycin C (MMC) and urethral stents, which remain controversial and are not currently mainstay of treatment...
July 2017: Translational Andrology and Urology
Aejaz Ahsan Baba, Sajad Ahmad Wani, Nisar Ahmad Bhat, Gowhar Nazir Mufti, Tariq Nazir Lone, Shaista Nazir
BACKGROUND: Hypospadias is a common problem encountered in surgical practice and its repair is challenging because of various complications. Urethro-cutaneous fistula is the most common postoperative complication (incidence of 0-33%). Different types of intermediate protective layers have been used in attempts to decrease UCF formation; however, no single surgical technique is ideal. OBJECTIVE: The aim of this study was to compare use of dartos fascia and Buck's fascia as intermediate layers in prevention of the formation of UCF...
July 16, 2017: Journal of Pediatric Urology
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