7,275 results match your criteria urethral stricture


Long-term lower urinary tract sequelae following AUS cuff erosion.

Neurourol Urodyn 2021 Sep 24. Epub 2021 Sep 24.

Department of Urology, University of Texas Southwestern Medical Center, Dallas, Texas, USA.

Aims: To examine the rate of lower urinary tract complications (LUTC) and urinary diversion (UD) after artificial urinary sphincter (AUS) explantation with the acute reconstruction of AUS cuff erosion defects.

Methods: We performed a retrospective study of patients who underwent in-situ urethroplasty (ISU) for AUS cuff erosion from June 2007 to December 2020. Outcomes included LUTC (urethral stricture, diverticulum, fistula), AUS reimplantation, and UD. Read More

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September 2021

Laser epilation of luminal hair following skin graft urethroplasty for hypospadias: the hair snare.

BMJ Case Rep 2021 Sep 22;14(9). Epub 2021 Sep 22.

Urology, AIIMS Rishikesh, Rishikesh, Uttarakhand, India.

A 66-year-old man, who underwent urethral reconstruction using skin grafts for hypospadias five decades earlier as a 13-year-old child, presented with burning micturition and recurrent UTI. A retrograde urethrogram along with micturating cystourethrogram revealed a bulbar urethral stricture and broad neck distal penile urethral diverticulum. On a cystourethroscopic examination, a urethral diverticulum was seen just proximal to the hypospadiac external urethral meatus with 12-15 hair follicles inside the diverticulum and a 1 cm long mid-bulbar stricture. Read More

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September 2021

Surgical management of benign prostate hyperplasia in Nigeria: open prostatectomy versus transurethral resection of the prostate.

Pan Afr Med J 2021 2;39:165. Epub 2021 Jul 2.

Department of Surgery, Jos University Teaching Hospital (JUTH), Jos, Nigeria.

Introduction: transvesical (open) prostatectomy (OP), an invasive surgical procedure, is a common form of treatment offered to patients with benign prostatic enlargement in emerging economies. Recently, there has been an increase in the use of electrosurgical means in treating benign prostate hyperplasia in our environment, especially transurethral resection of the prostate (TURP). This study compares the perioperative, short-term outcomes and complications of open prostatectomy and TURP. Read More

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ANTERIOR URETHROPLASTY FOR THE MANAGEMENT OF URETHRAL STRICTURES IN MALES: A SYSTEMATIC REVIEW.

Urology 2021 Sep 16. Epub 2021 Sep 16.

School of Bioscience Education, Guy's Campus, King's College London, London, UK; Department of Urology, King's College Hospital, London, UK. Electronic address:

Objectives: To identify the currently utilised techniques of anterior urethroplasty described in literature for treatment of urethral strictures, assess the effectiveness of the identified techniques based on re-stricture and complication rates, evaluate, and suggest treatment options based on current evidence for urethral strictures at different locations and of different lengths.

Methods: A systematic review of the MEDLINE, EMBASE, Scopus and Cochrane Library databases from conception up to September 2020 was performed. Primary outcomes included success rates measured via re-stricture rates and the post-operative maximum urinary flow rate (Qmax). Read More

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September 2021

Dorsal onlay oral mucosa graft urethroplasty for female urethral stricture.

Urology 2021 Sep 16. Epub 2021 Sep 16.

Department of Urology, New York University Langone Health, New York, USA.

Objective: To describe and assess the outcomes of dorsal onlay oral mucosa graft urethroplasty for female urethral stricture.

Method: We retrospectively reviewed the charts of all female patients who underwent dorsal onlay oral (buccal or lingual) mucosa urethroplasty for urethral stricture between 2011 and 2020 at two academic institutions. The primary endpoint was clinical success defined as any subjective improvement in LUTS self-assessed by the patients 1 to 3 months after catheter removal. Read More

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September 2021

Safety and efficacy of urethroplasty based on age groups.

Actas Urol Esp (Engl Ed) 2021 Sep 12. Epub 2021 Sep 12.

Sector de Cirugía Uretral y Genital Reconstructiva, Servicio de Urología, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

Objective: To analyze the results and complications after urethroplasty based on patient age groups. As secondary objective, we analyzed the impact of operative complexity on each age group.

Material And Methods: This is a retrospective cohort study that include male patients who underwent urethroplasty between January 2011 and December 2018. Read More

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September 2021

Outcome of Delayed Perineal Anastomotic Urethroplasty in Children with Post-Traumatic Urethral Stricture in a Tertiary Center, Addis Ababa, Ethiopia.

Res Rep Urol 2021 29;13:631-637. Epub 2021 Aug 29.

Department of Surgery, Pediatric Surgery Division, Addis Ababa University, Addis Ababa, Ethiopia.

Background: Urethral stricture is a challenging urologic problem resulting from congenital, idiopathic, traumatic, iatrogenic,and inflammatory causes. Road traffic accidents and falling-down accidents are the most common traumatic causes. Although most management principles are extrapolated from adults, stricture in children has a unique anatomic challenge. Read More

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Female Urethroplasty: Outcomes of Different Techniques in a Single Center.

J Clin Med 2021 Aug 31;10(17). Epub 2021 Aug 31.

Ghent University Hospital, 9000 Ghent, Belgium.

Introduction: Female urethral strictures and injuries are relatively uncommon compared to males. A wide range of possible causes and treatment modalities have been described. Lately female urethral reconstruction is gaining attention and is fortunately no longer a neglected topic within the reconstructive urology. Read More

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Treatment of Urethral Strictures in Transmasculine Patients.

J Clin Med 2021 Aug 30;10(17). Epub 2021 Aug 30.

Department of Urology, Ghent University Hospital, 9000 Gent, Belgium.

Background: Urethral strictures are a common complication after genital gender-affirming surgery (GGAS) in transmasculine patients. Studies that specifically focus on the management of urethral strictures are scarce. The aim of this systematic review is to collect all available evidence on the management of urethral strictures in transmasculine patients who underwent urethral lengthening. Read More

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[A comprehensive approach to the treatment of urethral strictures caused by lichen sclerosus].

Urologiia 2021 Sep(4):12-18

Department of Urology and Andrology of pre- and post-graduate studies named by M. T. Tynaliev of the Kyrgyz State Medical Academy named by I. K. Akhunbaev, Bishkek, Kyrgyzstan.

Aim: to evaluate the correctness of the diagnosis of lichen sclerosus with an evaluation of complications in the form of urethral strictures and to ensure long-term monitoring of patient management in order to avoid recurrence of fibrous complications and ascending infection in case of lower urinary tract obstruction.

Material And Methods: a total of 55 men aged from 17 to 85 years with lichen sclerosus complicated by urethral stricture who were treated from 2005 to 2020 were included in the study. All patients underwent a comprehensive urological examination. Read More

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September 2021

[Evaluation of the effectiveness of surgical treatment of recurrent urethral stricture].

Urologiia 2021 Sep(4):5-10

Department of Urology and Andrology N.I. Pirogov Russian National Research Medical University, Moscow, Russia.

Introduction: The recurrent course of the disease stricture is a complex problem for both the patient and the operating surgeon and requires an integrated approach to treatment only in expert centers.

Purpose Of The Study: To assess the effectiveness of methods of surgical treatment of recurrent urethral strictures.

Materials And Methods: At the University Clinic of Urology, Russian National Research Medical University named after N. Read More

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September 2021

Single-stage versus staged interposition urethroplasty for glandular hypospadias with severe penile curvature: 15-year experience.

World J Urol 2021 Sep 5. Epub 2021 Sep 5.

Department of Urology and Laboratory of Pelvic Floor Muscle Function, Shenzhen Children's Hospital, Futian District, Shenzhen, 518000, Guangdong, People's Republic of China.

Purpose: Our study examined the benefit of an alternative interposition urethroplasty (IU) procedure for glandular hypospadias (GH) with severe penile curvature (SPC). The technique involved transecting and reconstructing the urethra to preserve the distal glandular and coronal urethra and correct the curvature. We compared procedural characteristics, outcomes, and surgical complications for the single-stage and staged IU techniques. Read More

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September 2021

A Primary Urothelial Carcinoma Presenting as a Mid-Bulbar Urethral Stricture in a 30-Year-Old Male.

Cureus 2021 Jul 31;13(7):e16774. Epub 2021 Jul 31.

Urology, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU.

The bulbar urethra is the most common site of anterior urethral strictures. In this case report, we present a 30-year-old male who was referred to us as a case of mid-bulbar urethral stricture. Urethroplasty was booked and a papillary lesion was found on routine diagnostic cystoscopy. Read More

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Long-term outcome of Non-Transecting Anastomotic Bulbar Urethroplasty for Urethral Strictures: An 8-year experience from Liaquat National Hospital Karachi.

Pak J Med Sci 2021 Sep-Oct;37(5):1371-1375

Dr. Imran Idrees Memon, FCPS. Ex-Registrar, Liaquat National Hospital, Karachi, Pakistan. Department of Urology, Liaquat University of Medical & Health Sciences Jamshoro, Sindh, Pakistan.

Objectives: To determine the long-term outcome and complications of non-transecting anastomotic bulbar urethroplasty for the treatment of small bulbar urethral strictures presenting at Liaquat National Hospital, Karachi.

Methods: This interventional study was conducted from January 2012 to December 2019 with the study duration of eight year at Liaquat National Hospital, Karachi. All patients presenting in the outpatient department with urethral strictures were included in the study. Read More

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November 2020

The Story of Female Urethral Stricture - "To a man with a hammer, everything looks like a nail".

Int Braz J Urol 2021 Nov-Dec;47(6):1281-1283

Department of Urology, Sri Sathya Sai Institute of Higher Medical Sciences, Prashantigram, Puttaparthi, Andhra Pradesh, India.

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September 2021

Prospective Assessment of Patient-Perceived Short-Term Changes in Penile Appearance After Urethroplasty.

Urology 2021 Aug 27. Epub 2021 Aug 27.

Division of Urology, University of Alberta, Edmonton, Alberta. Electronic address:

Objective: To define the incidence and associations of patient-reported penile curvature and shortening after urethroplasty. Alterations in penile curvature or length post-urethroplasty are associated with patient dissatisfaction but are poorly described.

Methods: From 2011-2019, 387 patients completed enrollment in a prospective single-centre study assessing patient-reported outcomes pre-operatively and 6-months post-urethroplasty. Read More

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A neo-rectal bladder by uretero-rectal anastomosis: a case report.

Transl Androl Urol 2021 Jul;10(7):3080-3083

Department of Urology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Urinary diversion has always been a great challenge for urologists. There are many reasons and various methods for urinary diversion in clinical practice. In this report, who was diagnosed with a pelvic fracture complicated by enterostomy, urethral stricture, and bilateral inferior ureteral stricture. Read More

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Lichen sclerosus: Neue Operationstechnik für schwere präputiale Adhäsion.

Authors:

Aktuelle Urol 2021 09 24;52(5):417-418. Epub 2021 Aug 24.

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September 2021

Contrast-Enhanced Ultrasound and Shear Wave Elastography: Novel Methods for the Evaluation of Urethral Stricture Disease.

J Urol 2021 Aug 24:101097JU0000000000002146. Epub 2021 Aug 24.

Department of Radiology, Thomas Jefferson University, Philadelphia, Pennsylvania.

Purpose: Urologists will benefit from an imaging modality which can assess intra and extraluminal characteristics of urethral strictures. We conducted a prospective pilot study evaluating the utility of contrast-enhanced ultrasound and shear wave elastography for the evaluation of bulbar urethral stricture disease.

Materials And Methods: Patients with a single, bulbar urethral stricture were prospectively recruited. Read More

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Lichen sclerosus presenting as an isolated bulbar urethral stricture.

Urol Case Rep 2021 Nov 1;39:101794. Epub 2021 Aug 1.

Faculty of Medicine, The University of Queensland, Herston, Queensland, 4006, Australia.

Lichen sclerosus (LS) is a chronic inflammatory condition of the anogenital skin that can cause significant urinary and sexual dysfunction in men, particularly by means of destructive urethral disease. LS is traditionally thought to progress from the meatus with migration along the urethra proximally, however we present a case describing an isolated bulbar urethral stricture secondary to LS. To our knowledge, this has only been reported in the literature in one previous study. Read More

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November 2021

Tissue engineering: recent advances and review of clinical outcome for urethral strictures.

Curr Opin Urol 2021 Sep;31(5):498-503

Department of Urology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.

Purpose Of Review: Urethrotomy remains the first-line therapy in the treatment of a urethral stricture despite data showing no real chance of a cure after repeated urethrotomies. An anastomotic or an augmentation urethroplasty using oral mucosa can be offered to patients following failed urethrotomy. The potential for a tissue engineered solution as an alternative to native tissue has been explored in recent years and is reviewed in this article. Read More

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September 2021

[Outcomes of partial pubectomy assisted anastomotic urethroplasty for male patients with pelvic fracture urethral distraction defect].

Beijing Da Xue Xue Bao Yi Xue Ban 2021 Aug;53(4):798-802

Department of Urology, Beijing Jishuitan Hospital, the Fourth Medical College of Peking University, Beijing 100096, China.

Objective: To summarize the clinical outcomes of partial pubectomy assisted anastomotic urethroplasty for male patients with pelvic fracture urethral distraction defect (PFUDD) and discuss the skills of partial pubectomy.

Methods: The clinical data of 63 male patients with PFUDD were retrospective reviewed. The procedure of the anastomotic urethroplasty was as follows: (1) circumferentially mobilizing the bulbar urethra; (2) separating the corporal bodies; (3) performing the urethral anastomosis after partial pubectomy and exposure of the healthy two ends of the urethra. Read More

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European Association of Urology Guidelines on Urethral Stricture Disease Part 3: Management of Strictures in Females and Transgender Patients.

Eur Urol Focus 2021 Aug 12. Epub 2021 Aug 12.

Department of Urology, University College London Hospital, London, UK.

Context: Urethral stricture management guidelines are an important tool for guiding evidence-based clinical practice.

Objective: To present a summary of the 2021 version of the European Association of Urology (EAU) guidelines on management of urethral strictures in females and transgender patients.

Evidence Acquisition: The panel performed a literature review on these topics covering a time frame between 2008 and 2018 and used predefined inclusion and exclusion criteria for study selection. Read More

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Antibiotic Duration After Urethroplasty: An Attempt at Improving Antibiotic Stewardship.

Urology 2021 Aug 8. Epub 2021 Aug 8.

Washington University in St. Louis School of Medicine. St. Louis, MO. Electronic address:

Objective: To evaluate if decreasing postop abx prophylaxis affects UTI and wound infection rates in patients following urethroplasty.

Methods: A retrospective review of patients who underwent urethroplasty from 9/2017 - 3/2020 by a single surgeon was performed. All patients received urine culture specific perioperative IV abx prior to urethroplasty and kept a urethral catheter for 3 weeks postop. Read More

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The outcomes of three buccal mucosal graft urethroplasty techniques in women with urethral stricture disease.

Neurourol Urodyn 2021 Aug 8. Epub 2021 Aug 8.

Department of Urology, School of Medicine, Pamukkale University, Denizli, Turkey.

Aim: The purpose of this paper is to present the outcomes of three buccal mucosal graft (BMG) urethroplasty techniques in female patients with urethral strictures.

Methods: We included all patients who had BMG urethroplasty for female urethral strictures (FUS) disease between January 2015 and June 2020. Patient age, comorbidities, stricture etiology, stricture length, the number of previous treatments, preoperative and postoperative uroflowmetry data, postvoid residual volumes, and the operation and postoperative course details were documented. Read More

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Effects of a gamma-secretase inhibitor of notch signalling on transforming growth factor β1-induced urethral fibrosis.

J Cell Mol Med 2021 Sep 6;25(18):8796-8808. Epub 2021 Aug 6.

Department of Urology, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.

Urethral stricture (US) is a common disorder of the lower urinary tract in men caused by fibrosis. The recurrence rate of US is high; however, there are no effective therapies to prevent or treat urethral fibrosis. The pathogenesis of urethral fibrosis involves myofibroblast activation and excessive extracellular matrix (ECM) deposition. Read More

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September 2021

Patient assessment of lower urinary tract symptoms using the international prostate symptom score following low-dose-rate prostate brachytherapy.

Brachytherapy 2021 Aug 2. Epub 2021 Aug 2.

Department of Radiation Oncology, Wake Forest School of Medicine, Winston Salem, NC.

Purpose: To correlate changes in urinary patient-reported outcomes including the International Prostate Symptom Score (IPSS), acute urinary retention and urethral stricture with urethral dose in those treated with low dose rate (LDR) prostate brachytherapy.

Materials And Methods: Patients treated with prostate LDR between 2012 and 2019 (n=117) completed IPSS urinary symptom assessments prior to treatment and at each follow-up. CT simulation was obtained with urinary catheter 1-month post-implant for dosimetric analysis. Read More

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