Value of Electrical Dispersion as a Cause of Urethral Stenosis after Endoscopic Surgery

Vicente, J.; Rosales, Alberto Javier Ortega; Montlleó, M.; Caffaratti, Jorge

doi:10.1159/000474857

Cited by 12 publications

(3 citation statements)

References 7 publications

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“…The pathogenesis of iatrogenic US is not fully clarified [8,13,19,23,25,30,31,32]. The pathogenesis of iatrogenic US is not fully clarified [8,13,19,23,25,30,31,32].…”

Section: Discussionmentioning

confidence: 99%

The effect of the somatostatin analogue lanreotide on the prevention of urethral strictures in a rabbit model

et al. 2003

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We evaluated the effect of the somatostatin analogue lanreotide on the development of surgically induced experimental strictures in the anterior urethra of the male rabbit. A total of 74 male rabbits were randomly allocated into four groups. Lanreotide was administered to the rabbits in groups 2 and 4 from day 0 to 14. To create a stricture, a resection was made in the urethra of the rabbits in groups 3 and 4 on day 2. On day 30, all rabbits were examined with urethrography, impedance planimetry and either histology or for collagen content. Urethrography and impedance planimetry demonstrated a urethral stricture in all operated animals. No difference was found between the two stricture groups, regardless of lanreotide administration, with respect to luminal cross-sectional area (CSA), circumferential tension-strain relation, histology or collagen content. The CSA of the urethra of the normal controls treated with lanreotide was smaller than the CSA of the normal controls not treated with lanreotide, however, no difference was found in histology or collagen content. Lanreotide had no measurable effect on the development of a surgically induced stricture in the male rabbit anterior urethra, however, lanreotide seems to exert an inhibitory effect on the normal growth of the urethra.

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“…The pathogenesis of iatrogenic US is not fully clarified [8,13,19,23,25,30,31,32]. The pathogenesis of iatrogenic US is not fully clarified [8,13,19,23,25,30,31,32].…”

Section: Discussionmentioning

confidence: 99%

The effect of the somatostatin analogue lanreotide on the prevention of urethral strictures in a rabbit model

et al. 2003

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“…Also, during urethra surgery, an accidental through-out suturing of the catheter is possible, which will require time either before the hydrolysis of the suture material or per catheter or surgical release [20]. Currently, there are a large number of studies indicating the risks of developing urethral strictures due to a traumatic installation (risk ratio ≥11-32%) and removal or prolonged drainage (risk ratio 36.5%) [21][22][23].…”

Section: Urethra Injurymentioning

confidence: 99%

Urinary System Iatrogenic Injuries: Problem Review

et al. 2021

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Introduction: From May to December 2019, a literature review of the urinary system iatrogenic injury problem was performed. The most cited, representative articles in PubMed, Scopus, and WoS databases dedicated to this problem were selected. Urinary system iatrogenic injuries include ureter, bladder, urethra, and kidney traumas. It is widely thought that the main causes of such injuries are urological, obstetric, gynecological, and surgical operations on the retroperitoneal space, pelvis, or perineum. Methods: The purpose of the study is to describe all aspects of the iatrogenic injure problem, under the established scheme and for each of the most damaged organs: the urethra, bladder, kidney, and ureter. The treatment of confirmed iatrogenic injuries largely depends on the period of its detection. Modern medical procedures provide conservative or minimally invasive treatment. An untimely diagnosis worsens the treatment prognosis. “Overlooked” urinary system trauma is a serious threat to society and a particular patient. Thus, incorrect or traumatic catheterization can lead to infection (RR 95%) and urethral stricture (RR ≥11–36%), and percutaneous puncture nephrostomy can cause the risk of functional renal parenchyma loss (median 5%), urinary congestion (7%), or sepsis (0.6–1.5%). Results: Lost gain, profits, long-term and expensive, possibly multistage treatment, stress and depression, and the risks of suicide put a heavy financial, moral, and ethical burden on a person and society. Also, iatrogenic injury might have legal consequences. Discussion/Conclusion: Thus, the significant problem of urinary tract iatrogenic injuries is still difficult to solve. There is a need to implement mandatory examining algorithms for patients at risk, as well as the multidisciplinary principle for all pelvic surgery.

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“…Οι εσωτερικοί τραυματισμοί είναι συνήθως ιατρογενείς και οφείλονται στην είσοδο εργαλείων σε ενδοσκοπικούς χειρισμούς, στην είσοδο ουρηθρικών κα θετήρων ή σε διουρηθρικές επεμβάσεις όπως πχ. η διουρηθρική εκτομή όγκου κύστεως ή η διουρηθρική προστατεκτομή (7,29,30,38,43).…”

Section: γ μεταφλεγμονώδηunclassified

Η Συμβολη Της Ουρηθρουπερηχογραφιας Στην Εκτιμηση Των Στενωματων Της Ουρηθρας

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Value of Electrical Dispersion as a Cause of Urethral Stenosis after Endoscopic Surgery

Cited by 12 publications

References 7 publications

The effect of the somatostatin analogue lanreotide on the prevention of urethral strictures in a rabbit model

The effect of the somatostatin analogue lanreotide on the prevention of urethral strictures in a rabbit model

Urinary System Iatrogenic Injuries: Problem Review

Η Συμβολη Της Ουρηθρουπερηχογραφιας Στην Εκτιμηση Των Στενωματων Της Ουρηθρας

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