I Traumi Della Vescica

Graziotti, P.; Belussi, D.; Giannone, V.; Guizzetti, C.; Ranieri, A.; Romano, C.; Frego, E.; Fandella, A.; Bianco, M. Dal; Lembo, A.

doi:10.1177/039156039105800317

Cited by 1 publication

(2 citation statements)

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“…Only 34% of our patients are considered permanently healed after undergoing one or more internal urethrotomies [14]. According to Jakse and Marberger [15], two internal urethrotomies might be performed on a short stricture before resorting to urethroplasty.…”

Section: Discussionmentioning

confidence: 95%

“…Since urologists typically opt for the least complicated and intrusive approach, this has led in an ongoing discussion concerning the optimal way to manage urethral strictures [4].Patients, after being counseled, often opt for this less intrusive surgery. Concerns concerning the procedure's efficacy have been raised, however, because of the vast discrepancy in reported results (Table 2) [5][6][7][8][9][10]14]. Although various groups have reported cure rates of 80-95% with end-to-end anastomosis [12], in 1983 Chilton et al [11] cured just 5% of 261 individuals endoscopically for urethral stenosis.…”

Section: Discussionmentioning

confidence: 99%

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Excision and primary anastomotic urethroplasty

Shahzad,

Awan,

Yousuf

et al. 2023

ijhs

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Objective: To retrospectively review patients with strictures (<3 cm) of the bulbous urethra who had Undergone urethroplasty with excision of the stenotic segment and end-to-end anastomosis. Patients and Methods: One hundred patients were analyzed, all males with ages ranging from 18 to 60 who were treated for strictures between 5 and 30 mm in length between 2007 and 2021. Endoscopic internal urethrotomy was used in the treatment of 65 patients (%), and three patients (20()) had internal urethrotomy performed on them twice. The removal & primary anastomotic urethroplasty were performed on all patients. With the patient in a lithotomy posture, the stenotic segment was removed and the stumps spatulated for end-to-end anastomosis through a perineal incision. The average (range) time of an operation was 119 (75-150) minutes. Although one patient underwent revision surgery for a perineal urine fistula, the surgery itself and the time spent in the position of lithotomy were both uneventful. Results: After a median of 12 months of observation, 95% of patients were deemed cured since the stricture had not returned. Perineal urinary fistula and recurring stricture occurred in one case. No other adverse events occurred as a result of the treatment.

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Section: Discussionmentioning

confidence: 95%