Opinion: Substitution Urethroplasty

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Substitution urethroplasty or anastomotic urethroplasty for bulbar urethra strictures? Or endoscopic urethrotomy? Opinion: Anastomotic Urethroplasty.

There are many ways to skin a cat. An “index” 2 cm bulbar urethral stricture can be well-treated with an anastomotic technique, with ventral or dorsal buccal urethroplasty, or with direct vision internal urethrotomy. However, urethrotomy has the most limited use. Most experts think direct internal urethrotomy should be reserved for those patients not previously treated, or who are unwilling or ...

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Opinion: Anastomotic Urethroplasty

With an estimated prevalence of 296 to 627 per 100,000 men, male urethral stricture disease imposes a significant burden on the health care system (1, 2). Urethroplasty has demonstrated durable, high success rates in the management of a wide spectrum of stricture disease, far exceeding that of the more commonly performed but less successful direct vision internal urethrotomy (DVIU) (1, 3-5). Wh...

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Surgical Techniques in Substitution Urethroplasty Using Buccal Mucosa

Introduction Since the resurgence in the use of buccal mucosa in substitution urethroplasty in the late 1980s and early 1990s, there has been controversy as to which surgical technique is the most appropriate for its application. Method The authors performed a literature review. Several centres have published widely on this topic, and the points considered include the use buccal mucosa (BM) in ...

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Bone Marrow Stem/Progenitor Cells Attenuate the Inflammatory Milieu Following Substitution Urethroplasty

Substitution urethroplasty for the treatment of male stricture disease is often accompanied by subsequent tissue fibrosis and secondary stricture formation. Patients with pre-existing morbidities are often at increased risk of urethral stricture recurrence brought upon in-part by delayed vascularization accompanied by overactive inflammatory responses following surgery. Within the context of th...

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Surgical techniques in substitution urethroplasty using buccal mucosa for the treatment of anterior urethral strictures.

OBJECTIVES Since the resurgence in the use of buccal mucosa (BM) in substitution urethroplasty in the late 1980s and early 1990s, there has been controversy as to which surgical technique is the most appropriate for its application. METHODS The authors performed an updated literature review. Several centres have published widely on this topic, and the points considered include the use BM in d...

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ژورنال

عنوان ژورنال: International braz j urol

سال: 2015

ISSN: 1677-5538

DOI: 10.1590/s1677-5538.ibju.2015.04.02