Lichen Sclerosus of the Male Genitalia and Urethra: Surgical Options and Results in a Multicenter International Experience with 215 Patients

Kulkarni, Sanjay; Barbagli, Guido; Kirpekar, Deepak; Mirri, Francesco; Lazzeri, Massimo

doi:10.1016/j.eururo.2008.07.046

Cited by 175 publications

(153 citation statements)

References 22 publications

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“…A similar series published in the same year examined a large, multiinstitutional European experience with 215 LS patients having complex urethral stricture disease. A notable proportion of patients (21.8%, 47/215) underwent definitive PU using a conventional approach with a similar 72% success rate (9).…”

Section: Conventional Pu: Technique and Outcomesmentioning

confidence: 99%

The “7-Flap” Perineal Urethrostomy

French

Hudak

Morey

2011

Urology

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Section: Conventional Pu: Technique and Outcomesmentioning

confidence: 99%

The “7-Flap” Perineal Urethrostomy

French

Hudak

Morey

2011

Urology

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“…10,19,28 Therefore, excision of the diseased urethra and one or two stage urethroplasty using extragenital tissue grafts has been advocated in patients with BXO. 10,28,29 In our present cohort, a narrow 2-3 mm of native mucosal strip was preserved on the dorsal side. When the urethral plate is severely stenosed complete replacement of the diseased, fibrotic mucosa with BMG in a circular form still renders a 1-stage reconstruction possible.…”

Section: Discussionmentioning

confidence: 99%

Ventral Onlay Buccal Mucosal Graft Urethroplasty Based on Tunica Vaginalis Flap for Balanitis Xerotica Obliterans Related Urethral Strictures: The Outcome of Single- Stage Reconstruction

Singh¹

2017

jmscr

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“…Our grafts are 1.5cm wide and about 6-8cm long. We leave the graft harvest side open to heal by secondary intention [2,3]. We have proposed an algorithm for management of panurethral strictures [4].…”

Section: Discussionmentioning

confidence: 99%

Panurethral Strictures: A Review of Management Options

Desai¹

2017

UNOAJ

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Introduction: Panurethral strictures represent a complex subgroup of urethral strictures. Lichen sclerosis is the commonest cause for these strictures. We outline the management of panurethral strictures in this review. Material and Methods:Our institute is a tertiary referral center. We evaluated panurethral strictures (primary and redo cases) managed at our institute over the last 20 years (June 1995-June 2015) using single stage Kulkarni one-sided urethroplasty with oral mucosal graft. Patients with incomplete medical records were excluded from the study. Data was analysed for primary or redo case, age, cause of stricture, length of stricture, follow up and success rate. Success was defined as no requirement of any further intervention. Follow up was carried out every 3 months in the first year and every year thereafter. Follow up included clinical examination and uroflow. This is a non-analytic study and descriptive analysis was carried out.Results: 318 (283 primary and 35 redo) cases of panurethral strictures were managed at our institute over last 20 years. Lichen sclerosis was seen in 184 (57.84%) cases. 84.9% (primary 89.39% and redo 57.85%) cases were successful. Age range of patients was 20-76 years (median 44.6 years) with stricture length from 10-19 cms. Follow up was at regular intervals using uroflow assessment. Median follow up was 59 months (range 6.4 to 192). Conclusion:Lichen sclerosis is the commonest cause for panurethral strictures. Kulkarni one-sided panurethroplasty offers a single stage surgery with acceptable outcomes and avoids inclusion of genital skin as seen in staged procedures.

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Lichen Sclerosus of the Male Genitalia and Urethra: Surgical Options and Results in a Multicenter International Experience with 215 Patients

Cited by 175 publications

References 22 publications

The “7-Flap” Perineal Urethrostomy

The “7-Flap” Perineal Urethrostomy

Ventral Onlay Buccal Mucosal Graft Urethroplasty Based on Tunica Vaginalis Flap for Balanitis Xerotica Obliterans Related Urethral Strictures: The Outcome of Single- Stage Reconstruction

Panurethral Strictures: A Review of Management Options

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