A 2-month-old boy was diagnosed with febrile urinary tract infection. Voiding cystourethrography showed bulbar and anterior urethral strictures, and endoscopic internal urethrotomy was performed. He developed febrile urinary tract infection again and revealed the recurrence of the anterior urethral stricture. Consequently, endoscopic internal urethrotomy was performed 4 times. Because the anter...

BACKGROUND The management of urethral stricture is a challenge to both the urologists and the patients. Thoughtful and satisfactory preoperative evaluation remains important to achieving good outcome. Retrograde urethrography and Micturating Cystourethrography (RUG/MCUG) have been the gold standard imaging technique in the evaluation of anterior urethral stricture but are not without inherent l...

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 Precise definition of pelvic fracture location may enable prediction of which subjects are at risk for urethral injury and understanding of the pathophysiological mechanism of injury. We determined the specific anterior pelvic injury locations associated with urethral injury. MATERIALS AND METHODS We completed a retrospective, nested case-control study of 119 male patients evaluated a...

The incidence of urethral injuries in reports from Vietnam indicates a moderate variability. Salvatierra and colleagues reported 14 urethral injuries in 252 urological war injuries for an incidence of 5.6%, whereas Selikowitz reported 25 urethral injuries in 250 urological injuries for an incidence of approximately 10%. (Actually, Selikowitz’s incidence would be higher if he had included anteri...

BACKGROUND To date, the morbidity of urethral stricture disease among American men has not been analyzed using national datasets. We sought to analyze the morbidity of urethral stricture disease by measuring the rates of urinary tract infections and urinary incontinence among men with a diagnosis of urethral stricture. METHODS We analyzed Medicare claims data for 1992, 1995, 1998, and 2001 to...

OBJECTIVE The incidence of urethral injuries in children is rare due to the fact that the urethra is short, mobile and protected by the pubic bone. The management of urethral trauma in childhood remains controversial because of the limited expertise of most urologists. MATERIAL AND METHODS We performed a literature review by searching the Medline database for articles published between 1975 a...

BACKGROUND In the case of buccal mucosa graft (BMG) urethroplasty for penile urethral strictures (PUS), it is supposed that the ventral onlay (VO) would not assure sufficient nutritional and mechanical support. Because VO requires only one ventral incision of the stenotic urethral segment and does not affect the urethral vasculature, we have design a prospective study related to this issue. M...

OBJECTIVE To compare outcomes for single urethral cuff downsizing versus tandem cuff placement during artificial urinary sphincter (AUS) revision for urethral atrophy. MATERIALS AND METHODS We identified 1778 AUS surgeries performed at our institution from 1990-2014. Of these, 406 were first AUS revisions, including 69 revisions for urethral atrophy. Multiple clinical and surgical variables w...