Muscle- and Nerve-sparing Bulbar Urethroplasty: A New Technique

Barbagli, Guido; Stefani, Stefano De; Annino, Filippo; Carne, C. De; Bianchi, Giampaolo

doi:10.1016/j.eururo.2008.03.018

Cited by 89 publications

(54 citation statements)

References 15 publications

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“…Since urethroplasty is performed on the penis and/or in the perineum, it might have an impact on the patient's erectile function (8). Postoperative sequestration of urine in the urethra and diminished tone of the perineal muscles can lead to (an increase of) postvoid dribbling (8). Posterior urethroplasty is considered to jeopardize the function of the external urethral sphincter and might lead to urinary incontinence.…”

Section: Introductionmentioning

confidence: 99%

“…The need for further instrumentation or reoperation is considered a stricture recurrence by the majority of urologists (7). Since urethroplasty is performed on the penis and/or in the perineum, it might have an impact on the patient's erectile function (8). Postoperative sequestration of urine in the urethra and diminished tone of the perineal muscles can lead to (an increase of) postvoid dribbling (8).…”

Section: Introductionmentioning

confidence: 99%

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Assessment of the short-term functional outcome after urethroplasty: a prospective analysis

et al. 2011

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Objectives: To assess the short-term functional outcomes on urinary symptoms, erectile function, urinary continence and patient's satisfaction after urethroplasty. Materials and Methods: A prospective analysis was done in 21 patients who underwent urethroplasty. An assessment of the urinary flow, urinary symptoms (International Prostate Symptome Score ), erectile function (International Index of Erectile Function-5 ) and urinary continence (International Consultation Committee on Incontinence Questionaire male Short Form ) was done before urethroplasty and 6 weeks and 6 months after urethroplasty. Patients were also asked to score their satisfaction with the urethroplasty after 6 weeks and 6 months. Results: Mean patient's age was 48 years (range: 26-80 years). Mean stricture length was 4.2 cm (range: 1-12 cm). Three patients suffered a stricture recurrence. Mean maximum urinary flow increased from 5.83 mL/s to 24.92 mL/s (p < 0.001). Mean IPSS preoperative, 6 weeks and 6 months postoperative was respectively 15.86, 4.60 and 6.41(p < 0.001). The mean IIEF-5 score preoperative, 6 weeks and 6 months postoperative was respectively 15, 12.13 and 11.62 (not significant). The mean ICI-Q-SF score preoperative, 6 weeks and 6 months postoperative was respectively 10.47, 8.33 (p = 0.04) and 9.47 (p = 0.31). Patient's satisfaction 6 weeks and 6 months postoperative was respectively 17.14/20 and 17.12/20. Conclusions: Urethroplasty leads to a significant improvement in urinary flow and IPSS and urinary continence is tending to improve. Although not significant, erectile function was slightly diminished after urethroplasty. Functional outcome should be assessed when urethroplasty is performed.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Assessment of the short-term functional outcome after urethroplasty: a prospective analysis

et al. 2011

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“…Patients should be counselled preoperatively about this surgical side effect and should be taught how to empty the anterior urethra after micturition. Muscle and nerve sparing techniques might eliminate these side effects of urethral surgery, although only occasional reports have been published to date (Barbagli et al, 2008a).…”

Section: Post Void Dribblingmentioning

confidence: 99%

“…This is frequently accompanied by a disruption of the perineal nerves. In order to avoid this, Barbagli et al (Barbagli et al, 2008a) described a muscle and nerve sparing bulbar urethroplasty using buccal mucosa. Unfortunately this is not possible for anastomotic urethroplasty.…”

Section: Erectile and Ejaculatory Dysfunctionmentioning

confidence: 99%

The Use of Buccal Mucosa in Bulbar Stricture Repair: Morbidity and Functional Outcome

Aa¹,

Eeckt²,

Joniau³

2011

Current Concepts of Urethroplasty

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“…However the preservation of the lateral vascular supply of the urethra is of clinical values or not is still under debate. Barbagli et al [62] described a step to spare the bulbospongiosus nerves and muscles when gaining access for urethroplasty in series of sex patients. In all sex patients no evidence of stricture recurrence was noted at 12 months.…”

Section: Open Surgical Techniquesmentioning

confidence: 99%