Download Male Urethral Reconstruction and the Management of Urethral Stricture Disease, an Issue of Urologic Clinics, E-Book - Lee C Zhao | PDF
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[The reconstruction in stenosis of the male urethra].
This textbook provides a guide to reconstructive surgery of genitourethral problems in male patients. The first section covers all aspects of urethral reconstruction, including the functional anatomy of the urethra, etiology, epidemiology, and demographic differences in urethral pathology.
This chapter summarizes the reconstructive treatment options and considerations for these difficult to manage urethral strictures, for which urethroplasty or revision urethroplasty have failed or are no longer indicated.
Zhao has assembled the top experts in the field of urology to present state-of-the-art clinical reviews devoted to male urethral reconstruction and the management of urethral stricture disease. The issue is divided into three sections with focus on evlaluation and follow up urethroplasty technique and conditions affecting outcomes.
What is urethroplasty? urethroplasty: scar tissue repair of urine channel urethroplasty is the fixing of scar tissue in the urine channel from the bladder out the penis. There are many surgeries possible to fix this and all work to increase the size of the urine channel to improve urine flow.
The urethra is the long tube that carries urine outside the body. Because men have a much longer urethra than women, it is more common for men to experience urethral damage requiring surgery. The yale medicine department of urology offers innovative surgical treatments for men in need of urethral reconstruction, or surgical repair and rerouting of the urinary tract.
Short-segment penile urethral defects were repaired with diverticulum excision and primary repair of the defect longitudinally. 12 substitution urethroplasty using ventral onlay of either a penile skin or buccal mucosa graft was used for longer segment urethral defects. 13 staged reconstruction was reserved for diverticula associated with.
Posterior urethral reconstruction is a surgical procedure for males that is sometimes needed after trauma to the urethra. The urethra is the tube that carries urine out of the body from the bladder through the penis. The surgery is most often performed for urethral stricture (or narrowing) after trauma, such as a pelvic fracture.
Joel gelman, an internationally recognized expert in urethral stricture disease and director of the center for reconstructive urology at uc, irvine medical center, urethral strictures can now be cured with up to a 98+% success rate with urethral reconstruction, including novel techniques recently reported at the 2010 american urological association western section meeting.
Your doctor may have a number of reasons for having to perform male reconstructive urological techniques to correct complications due to disease, injury or major medical procedures. Hardened tissue in the urethra that can obstruct urine flow are called urethral strictures.
Urethroplasty is a surgery where the urethra is reconstructed to cure problems like urethral strictures. The types of surgeries are varied and depend upon the location, cause, and length of the stricture. An incision is made over the area of the stricture in the penis, scrotum, or perineum (the area between the scrotum and the anus).
For longer urethral strictures, open reconstruction (urethroplasty) may be needed. During this procedure, the scarred part of the urethra is removed and then either the healthy part of the urethra is reconnected or the urethra is reconnected using a graft taken from the cheek or other body part.
Abstract objectives: to describe the outcomes and reconstructive techniques used for men with symptomatic urethral diverticula in an attempt to standardize treatment based on the length of the urethral defect after diverticulum excision and the type of repair used. Urethral diverticula are rare in men and may be either congenital or acquired.
Reconstruction of the male posterior urethra in patients with vesicourethral anastomotic stenosis is one of the most challenging reconstructive surgeries performed by urologists. Obstacles encountered during this surgery include inadequate visualization, limited working space, and the scarred re-operative field.
When most people hear the phrase “male reconstructive surgery,” they most likely think it means gender reassignment. While this may be true in some instances, male reconstructive surgery is also necessary for serious injuries in men that have resulted in major changes to groin appearance, physiology, and function.
This textbook provides a guide to reconstructive surgery of genitourethral problems in male patients. Chapter cover the functional anatomy of the urethra, etiology, epidemiology, demographic differences in urethral pathology, and reconstruction of penile and scrotal anomalies and dysfunctions.
A urethroplasty, also known as a urethral reconstruction, is an open surgery to repair a urethral stricture. Unlike urethral dilations or incisions of the stricture, urethroplasty surgery is an open operation with an incision of the skin and direct urethral stricture repair.
Zhao has assembled the top experts in the field of urology to present state-of-the-art clinical reviews devoted to male urethral reconstruction and the management of urethral stricture disease. The issue is divided into three sections, with focus on evlaluation and follow up, urethroplasty technique, and conditions affecting outcomes.
Overall, urethral stricture is a common urologic condition and one that can be addressed to prevent more severe problems from developing. When there is either extrinsic or intrinsic trauma to the urethra, a “scar” forms in the tissue surrounding the urethra.
Hypospadias is a very common condition, in which the male urethral opening (urethral meatus) does not reach the tip of the penis. Hypospadias occurs in about 1 in 200-300 male births and presents in a broad clinical spectrum. Surgical repairs require considerable experience and the use of a meticulous technique to achieve good results.
Reconstruction of long segment urethral stricture disease in adults with a history of pediatric hypospadias repair remains complex secondary to poor urethral blood supply, extensive penile.
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