Transurethral Incision with Transverse Mucosal Realignment for the Management of Bladder Neck Contracture and Vesicourethral Anastomotic Stenosis

Abramowitz, David; Balzano, Felicia L.; Ruel, Nora; Chan, Kevin; Warner, Jonathan N.

doi:10.1016/j.urology.2021.02.035

Cited by 15 publications

(3 citation statements)

References 26 publications

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“…It has been found, in previous meta-analysis study including short-term data and long-term data of a number of randomized controlled trials, that TUIP produced comparable results to that of TURP concerning the improvement of lower urinary tract symptoms and improvement in Q max, provided that the sample of patients was selected based on small size prostate with no median lobe involvement [28]. In addition, it has been found that TUIP is associated with less contracture rate of lower bladder neck compared with TUIP [29][30][31]. The efficacy and safety of "Holmium TUIP (Ho-TUIP)" has been validated even in patients on anticoagulant therapy [32,33].…”

Section: Resultsmentioning

confidence: 99%

Untitled

2023

J. Med. Chem. Sci.

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As men age, a condition known as benign prostatic hyperplasia (BPH), or enlargement of the prostate gland, becomes more prevalent. The technique of transurethral incision of the prostate (TUIP) involves splitting the bladder outlet to relieve inferior urinary tract symptoms related to BPH with no need to remove tissues. Likewise, the surgery to remove portions of the prostate gland through the penis is known as a transurethral resection of the prostate (TURP). No cuts are required. By inserting a tool via the urethra and into the penis, the surgeon can access the prostate. The primary objective of the current study is to assess and compare the results of each procedure in a case reference study using a sample of Iraqi patients who had surgery to treat BPH. A total of 78 males with symptomatic BPH participated in this study, 31 of whom underwent TUIP, and the rest got TURP. The main outcomes to be evaluated were the periods of operation, hospital admission, catheterization, the international prostate symptom score (IPSS), the Q max, the post-voiding residual volume, and the ejaculation preservation. The mean durations of operation, hospital stay, and catheterization was significantly shorter in TUIP patients in comparison with TURP patients (P<0.05). The frequency of patients with preserved ejaculation was significantly more in TUIP patients compared with TURP patients (64.5 % vs. 37.0%) (P<0.018). TUIP was significantly better compared with TURP concerning the shorter durations of operation, hospital stays, catheterization, and preservation of ejaculation in optimally selected patients. K E Y W O R D SBenign prostatic hyperplasia Iraq Transurethral resection of prostate Transurethral incision of the prostate

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Section: Resultsmentioning

confidence: 99%

Untitled

2023

J. Med. Chem. Sci.

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“…3). The initial experience, with 6 month follow, involved 19 patients, of which 89% where recurrence-free after one procedure and 100% after a second procedure [29 ▪▪ ].…”

Section: Transurethral Surgical Urethroplasty Techniquementioning

confidence: 99%

“…The technique involves transurethral incision with transverse mucosal realignment in Heineke-Milkulicz fashion using a TK Ti-knot laparoscopic suturing device. Reprinted with permission from Abramowitz et al [29 ▪▪ ].…”

Section: Transurethral Surgical Urethroplasty Techniquementioning

confidence: 99%

Advancements in transurethral management of urethral stricture disease

Hughes

Blakely

Nikolavsky

2021

Current Opinion in Urology

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Purpose of review To explore and report the recent evolution of transurethral management of urethral stricture disease. Recent findings In recent years, new promising techniques in the transurethral management of urethral stricture disease have emerged including adjuvant therapies to direct vision internal urethrotomy, regenerative therapy with buccal mucosa cells and minimally invasive transurethral urethroplasty procedures that avoid skin incisions. Summary Although further work is needed, the expanding field of transurethral therapies for urethral stricture disease demonstrates early promising results through a variety of modalities.

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Posterior urethral stenosis: Contemporary management options

Yu,

Ahmed,

Murray

et al. 2024

UroPrecision

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Posterior urethral stenosis (PUS) is a known complication following prostate cancer treatment as well as other benign endoscopic treatments. Patients with PUS often fail initial endoscopic treatments and have persistent symptoms negatively affecting quality of life. In the past decade, a variety of different surgical techniques and approaches have changed the landscape of PUS management. The goal of this review is to provide details on the historical, current, and future direction of the surgical management for PUS.

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Transurethral Incision with Transverse Mucosal Realignment for the Management of Bladder Neck Contracture and Vesicourethral Anastomotic Stenosis

Cited by 15 publications

References 26 publications

Untitled

Untitled

Advancements in transurethral management of urethral stricture disease

Posterior urethral stenosis: Contemporary management options

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