Aim: This paper presents the latest surgical approaches for epispadias treatment in pediatric population, as well those adolescent and adult populations after initial failed repair childhood. Methods: The retrospective study was conducted between March 2005 May 2020 included 18 patients with mean age of 21 months (range 11-48 months) (Group A), who underwent primary 15 years 13-29 years) B), re...

a rare case of anterior urethral valve in association with posterior urethral valuve is reported. clinical findings are discussed, and the available literature will be briefly reviewed.

Research pertaining to transpubic urethral surgery is described. The operative technique of the perineo-abdominal transpubic approach for pelvic fracture urethral injury (PFUI) is reported in detail. Under all circumstances the operation should be started by a perineal exposure and liberal circumferential mobilisation of the bulbar urethra. The operation proceeds to an abdominal exposure only w...

Twelve patients, one of whom was homosexual, attended with a contact note indicating that their partner had been treated for gonorrhoea; three were advised to attend by their contacts; four came for a check-up (one had had a contact who was being treated for salpingitis); three had noticed genital warts; and two complained of itchiness (one with scabies, and one with pediculosis pubis). No pati...

OBJECTIVES To investigate the versatility of the ventral urethrotomy approach in bulbar reconstruction with buccal mucosa (BM) grafts placed on the dorsal, ventral or dorsal plus ventral urethral surface. PATIENTS AND METHODS Between 1999 and 2008, 216 patients with bulbar strictures underwent BM graft urethroplasty using the ventral-sagittal urethrotomy approach. Of these patients, 32 (14.8%...

Aim: In this study we evaluated cases referred to our clinic with serious complications of circumcision which needed secondary surgical intervention. Method: Between 1995 and 2010, 38 complicated circumcision cases were evaluated. The circumcisions were done at various medical clinics, home or communal circumcision ceremonies held in villages. The patients in the sample ranged in age from five ...

A novel method for evaluating the urethral resistance during abrupt elevation of abdominal pressure was developed in spinalized female rats under urethane anesthesia. Electrical stimulation of abdominal muscles for 1 s induced increases in both the intra-abdominal and the intravesical pressure in a stimulus-dependent manner, and the bladder response was almost lost when the abdomen was opened. ...

We conducted this study to evaluate the combined effect of acellular bladder submucosa matrix (BSM) and autologous urethral tissue for the treatment of long segment urethral stricture in a rabbit model. To prepare the BSM, porcine bladder submucosa was processed, decellularized, configured into a sheet-like shape, and sterilized. Twenty rabbits were randomized to normal control, urethral strict...

Background. Isolated male epispadias (IME) is a rare congenital penile malformation, as often part of bladder-exstrophy-epispadias complex (BEEC). In its isolated presentation, it consists in a defect of the dorsal aspect of the penis, leaving the urethral plate open. Occurrence of urinary incontinence is related to the degree of dorsal displacement of the meatus and the underlying underdevelop...

INTRODUCTION The use of flaps or grafts is mandatory in patients with longer and complex strictures. In 1995-96 we described a new dorsal onlay graft urethroplasty. Over time, our original technique was better defined and changed. Now this procedure (also named Barbagli technique) has been greeted with a fair amount of enthusiasm in Europe and in the United States. SURGICAL TECHNIQUE The pati...