Clinical Presentation and Diagnostic Evaluation of Male Urethral Stricture

Saavedra, Alvaro; Rourke, Keith

doi:10.1007/978-3-030-21447-0_5

Cited by 2 publications

(3 citation statements)

References 103 publications

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“…This disagreement may be due to that we included large number of cases with urethral stricture post hypospadias repair failure and it is known that the hypospadias occurs in the penile urethra. Saavedra and Rourke [15] , reported that the primary symptoms of urethral stricture were lower urinary tract symptoms followed by retention symptoms. Also, Kuo et al [16] , found that (68.6%) of the patients presented with obstructive symptoms, this is in line with our results as 63.1% of our patients presented by obstructive symptoms followed by 39.9% presented by retention symptoms.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of Buccal Mucosal Graft Urethroplasty for Long-Segment Anterior Urethral Strictures

2023

The Egyptian Journal of Hospital Medicine

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Background: A prevalent urologic illness in men, urethral stricture is accompanied by a significant financial burden as well as a decline in the quality of life for afflicted men and their families. Buccal mucosal grafts (BMG) are now often utilised to repair lengthy anterior urethral strictures. Objective: To assess the effectiveness of buccal mucosal graft urethroplasty for long-segment anterior urethral stricture resulting from various etiologies, including previously complex hypospadias repair. Patients and methods: This prospective cohort study included 65 patients with long-segment anterior urethral stricture due to different etiologies. Complete medical history and physical examination were done to each patient during enrollment. Urological investigations were done to confirm the diagnosis and to determine the accurate site of urethral stricture. All patients underwent buccal mucosal graft urethroplasty and all outcomes were reported. Results: The mean age of the patients was 27.6±13.15 SD years. Regarding the presenting symptoms, 63.1% of the panties complained from obstructive symptoms, and 39.9% complained from retention symptoms. Post hypospadias repair failure was the main etiology of strictures (n = 24; 36.9%). The success rate was found to be 84.6%, while 15.4% had recurrent stricture. The volume of blood loss was significantly affected success rate (P value=0.001). Also, the success rate was significantly affected by age (P value < 0.04), stricture site (P value < 0.006), cause of stricture (P value < 0.01), type of BMG urethroplasty (P value < 0.003), wound infection (P value < 0.001), hematoma formation (P value < 0.01), and catheterization time (P value < 0.001). Conclusion: BMG either dorsal or ventral onlay is an effective technique for treatment of urethral strictures of different etiologies.

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Section: Discussionmentioning

confidence: 99%

Outcomes of Buccal Mucosal Graft Urethroplasty for Long-Segment Anterior Urethral Strictures

2023

The Egyptian Journal of Hospital Medicine

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“…5,70 5.5 Sonourethrography: Ultrasound examination of the urethra, providing information on the location and length of stricture as well as the degree of spongiofibrosis. 71 5.11 Nocturnal penile tumescence (NPT) testing: A diagnostic test for evaluating the penile veno-occlusive mechanism. Penile rigidity is monitored using a specialized device (often the Rigiscan®) for at least two consecutive nights.…”

Section: Ipss See 322mentioning

confidence: 99%

“…5.5 Sonourethrography : Ultrasound examination of the urethra, providing information on the location and length of stricture as well as the degree of spongiofibrosis 71 . (NEW)…”

Section: Section 5: Investigationsmentioning

confidence: 99%

International Continence Society (ICS) report on the terminology for sexual health in men with lower urinary tract (LUT) and pelvic floor (PF) dysfunction

Kocjancic

Chung

Garzon

et al. 2022

Neurourology and Urodynamics

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Introduction:The terminology for sexual health in men with lower urinary tract (LUT) and pelvic floor (PF) dysfunction has not been defined and organized into a clinically based consensus terminology report. The aim of this terminology report is to provide a definitional document within this context that will assist clinical practice and research.Methods: This report combines the input of the members of sexual health in men with LUT and PF Dysfunction working group of the International Continence Society (ICS), assisted at intervals by external referees. Appropriate core clinical categories and a sub-classification were developed to give coding to definitions. An extensive process of 18 rounds of internal and external review was involved to exhaustively examine each definition, with decision-making by collective opinion (consensus). The Committee retained evidence-based definitions, identified gaps, and updated or discarded outdated definitions. Expert opinions were used when evidence was insufficient or absent. Results: A terminology report for sexual health in men with LUT and PF dysfunction, encompassing 198 (178 NEW) separate definitions, has been

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Clinical Presentation and Diagnostic Evaluation of Male Urethral Stricture

Cited by 2 publications

References 103 publications

Outcomes of Buccal Mucosal Graft Urethroplasty for Long-Segment Anterior Urethral Strictures

Outcomes of Buccal Mucosal Graft Urethroplasty for Long-Segment Anterior Urethral Strictures

International Continence Society (ICS) report on the terminology for sexual health in men with lower urinary tract (LUT) and pelvic floor (PF) dysfunction

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