Approach to bulbar urethral strictures: Which technique and when?

Joshi, Pankaj; Kaya, Cevdet; Kulkarni, Sanjay

doi:10.5152/tud.2016.12989

Cited by 25 publications

(21 citation statements)

References 16 publications

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“…The prototypes for creating the BMG technique were the methods of urethral replacement with autologous grafts [ 26 , 27 ], intraurethral methods of replacement of the bulbar urethra [ 28 ]. In addition, the experience of using other existing surgical methods was taken into account.…”

Section: Discussionmentioning

confidence: 99%

Buccal mucosal graft urethroplasty of the bulbomembranous part of urethra

Vorobev

Белобородов

Seminskiy

et al. 2020

Cent european J Urol

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Introduction Urethral stricture is a partial or complete narrowing of the urethra, caused by damage to the urethral epithelium. This disease leads to a persistent urination dysfunction, the elimination of which is a difficult task. The aim of this study was to perform a comparative analysis of the immediate and long-term narrowing treatment results of the proximal part of the bulbar and membranous urethral parts using the developed magnifying and anastomotic methods. Material and methods A total of 102 patients with a confirmed diagnosis of stricture of the bulbomembranous urethral part of the urethra who underwent treatment in the urological hospital in Irkutsk City Clinical Hospital No. 1 during the period 2012–2018 participated in this prospective study. Urethroplasty operations were performed in two ways, using the anastomotic and intra-urethral substitution techniques. Through the assessment of preoperative parameters, statistical homogeneity of comparison groups was established. Results The final data analysis showed relapse for 4 patients from Group I and for 2 patients in Group II. The absence of relapse during the entire observation period was equal in both groups and after 2 years amounted to 83.0 ±7.9% in Group I and 92.5 ±5.1% in Group II. Conclusions In both groups, the desired result was achieved – adequate independent urination was restored. The anastomotic method of urethroplasty should be used with caution in patients at risk groups, as well as with the presence of predictors of complications: previous transurethral surgeries on the urethra and prostate, anastomotic urethroplasty, radical prostatectomy. The developed minimally invasive substitution technique has a similar effectiveness with a lower risk of complications.

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Section: Discussionmentioning

confidence: 99%

Buccal mucosal graft urethroplasty of the bulbomembranous part of urethra

Vorobev

Белобородов

Seminskiy

et al. 2020

Cent european J Urol

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“…Кроме того, существуют комбинации дорсальных и вентральных методик при протяженных стриктурах и сужениях, близких к облитерации [37]. В случае пануретральных стриктур Kulkarni предложил операцию, при которой половой член инвагинируют в промежностный доступ, выделяют уретру со спонгиозным телом с левой стороны, дорсолатерально рассекают уретру и выполняют буккальную пластику [35].…”

Section: лечение стриктур уретрыunclassified

Modern approaches to diagnosis and treatment of urethral strictures: literature review and own experience

Gorelova

Muraviev

Vinogradova

et al. 2020

Innovacionnaâ medicina Kubani

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“…Traumatic strictures induce obliterative spongiofibrosis. [2] The classical example is fall-astride injuries. As the blood supply to urethra is cut off at the site of trauma, these strictures merit excision with primary anastomosis.…”

Section: Penile Urethral Stricturesmentioning

confidence: 99%

Algorithm for the management of anterior urethral strictures

Kulkarni

Joglekar

Alkandari

et al. 2018

Turkish Journal of Urology

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Anterior urethral strictures include penile, bulbar and panurethral strictures. In the literature various techniques have been mentioned for their management from single stage to two-stage approach. There are no guidelines concerning the use of dorsal or ventral approaches in bulbar urethroplasty. We share our simplified algorithm for the management of anterior urethral strictures. This algorithm is based on the last three decades of experience in urethroplasty and surgeries all around the globe.

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Approach to bulbar urethral strictures: Which technique and when?

Cited by 25 publications

References 16 publications

Buccal mucosal graft urethroplasty of the bulbomembranous part of urethra

Buccal mucosal graft urethroplasty of the bulbomembranous part of urethra

Modern approaches to diagnosis and treatment of urethral strictures: literature review and own experience

Algorithm for the management of anterior urethral strictures

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