OBJECTIVE To determine the role of ascending urethrogram in decision making for patients with suspected urethral strictures. METHODS Medical Records were reviewed of male patients presenting with lower urinary tract symptoms who were subjected to ascending urethrogram and selected cases for cystourethroscopy from January 2001 to December 2002. Cystourethroscopy was performed on those patients...

Purpose. Although the use of buccal mucosa in substitution urethroplasty has been practiced for some years, it has not been free of controversy over which surgical technique is the most appropriate to use. There is paucity of data in Sub-Saharan Africa about its success; this study presents the outcomes of dorsal and ventral buccal graft urethroplasty at a sub-Saharan tertiary hospital. Methods...

PURPOSE To evaluate the outcome of visual internal urethrotomy with a holmium:yttrium-aluminum-garnet laser along with intralesional triamcinolone injection. MATERIALS AND METHODS Patients with an anterior urethral stricture less than 3 cm in length were evaluated by clinical history, physical examination, uroflowmetry, and retrograde urethrogram preoperatively. All patients were treated with...

PURPOSE We review the applications and outcomes of penile circular fasciocutaneous flap urethroplasty in 66 patients at our institution. MATERIALS AND METHODS We used a circular distal penile skin flap for urethral reconstruction in 66 men with complex urethral strictures. Average stricture length in this series was 9.08 cm. and mean followup was 41 months (range 1 to 7 years). RESULTS The ...

INTRODUCTION Nowadays, buccal mucosa grafts are the most successful method to reconstruct bulbar urethral strictures. Dorsal placement of the graft has been recently proposed, allowing the graft to be spread fixed on the tunica albuginea of the corporal bodies overlying the stricture. The dorsal graft is ingenious and represents a useful addition to the surgical armamentarium, since it offers a...

bstructive uropathy is a common clinical problem, and urethral calculi constitute the least common form of calculous disease leading to obstructive uropathy. Urethral calculi may originate anywhere in the urinary tract, usually the bladder, and then migrate to the urethra. The clinical presentation is variable. Patients may have acute retention, dysuria, or a weak urine stream.1 Sonography is a...

BACKGROUND We report our results after 100 urethroplasties for the treatment of urethral stricture both at the bulbar and penile urethra, using different techniques. METHODS 100 patients with the diagnosis of anterior urethral stricture, that were submitted for urethroplasty in the period 1997-2007. Of them, 57 treated by end to end urethroplasty. 4 patients underwent augmented free graft ana...

We performed an up-to-date review of the surgical techniques suggested for the treatment of anterior urethral strictures. References for this review were identified by searching PubMed and MEDLINE using the search terms "urethral stricture" or "urethroplasty" from 1995 to 2006. Descriptive statistics of the articles were provided. Meta-analyses or other multivariate designs were not employed. O...

PURPOSE This article describes a novel technique for the repair of penile urethral strictures and establishes the safety, feasibility, and efficacy of this innovative surgical approach. MATERIALS AND METHODS Patients with urethral strictures underwent a one-sided anterior dorsal oral mucosal graft urethroplasty through a penoscrotal inversion technique. The clinical outcome was considered a f...

PURPOSE Long-segment urethral strictures (LSUS) are refractory to urethrotomy and urethroplasty. Holmium laser urethrotomy has shown favorable therapeutic outcomes in short-segment urethral stricture. We therefore evaluated the therapeutic effectiveness and safety of holmium laser endourethrotomy in the treatment of LSUS. MATERIALS AND METHODS Holmium laser endourethrotomy was used to treat 1...