Acute Management of Posterior Urethral Trauma

Membranous Urethra

Although the urethral injury is seldom the main problem of these often severally and severely traumatized patients, consequences of the urethral trauma such as urethral strictures, erectile dysfunction, and in some cases urinary incontinence may be problems with lifelong ramifications for these patients. In this connection, primary urological treatment should be directed at preventing early complications and minimizing the risk of the aforementioned potential problems. A satisfactory outcome is...

Endoscopic Urethroplasty

Metal Sounds For Urethral Dilatation

Webster GD, Waxman SW 1995 Strictures of the male urethra. Chapter 35. In Gillenwater JY, Grayhack JT, Howards SS, Duckett JW eds Adult and pediatric urology 3rd edn. Lippincott, Williams, and Wilkins, Philadelphia 2. Chiou RK, Gonzalez R, Ortlip S, Fraley EE 1988 Endoscopic treatment of posterior urethral obliteration long-term follow-up and comparison with transpubic urethroplasty. J Urol 140 508-511 3. Spirnak JP, Smith EM, Elder JS 1993 Posterior urethral obliteration treated by...

Diagnosis and Evaluation of Urethral Strictures

Normal Retrograde Urethrogram

Patients with urethral strictures most often present with obstructive voiding symptoms or urinary tract infections, such as prostatitis or epididymitis some will also present with urinary retention. On close inquiry, many of these patients have tolerated obstructive voiding symptoms for prolonged periods before progressing to complete obstruction. If a patient cannot void, an attempt should be made to pass a urethral catheter if the catheter does not pass, dynamic retrograde urethrography...

Penile Circular Fasciocutaneous Flaps for Complex Anterior Urethral Strictures

How See Corpora Spongio Real Penis

18.1 Penile Fascial Anatomy - 146 18.4 Preoperative Preparation - 148 18.9 Postoperative Care - 152 References - 152 Surgical reconstruction of complex anterior urethral strictures, 2.5-6 cm long, frequently requires tissue-transfer techniques 1-8 . The most successful are full-thickness free grafts genital skin, bladder mucosa, or buccal mucosa or pedicle-based flaps that carry a skin island. Of the latter, the penile circular fasciocutaneous flap, first described by McAninch in 1993 9 ,...

Dvog Proximal Bulbar Urethroplasty

Configuration of the meatus is often lost with the dorsal Y-V flap procedure. 17.2.1 Isolated Stricture of the Fossa Navicularis Following Transurethral Resection of the Prostate Patients who present with an isolated meatal fossa stricture following transurethral resection of the prostate generally gain little from repetitive dilations however, reliable reconstruction of the meatus and fossa navicularis with nearly perfect functional and cosmetic results can be accomplished using several...

Reconstruction of the Fossa Navicularis

Meatal Stenosis Circumcised

Reconstruction of Acquired Meatal Stenosis and Strictures of the Fossa Navicularis - 138 Reconstruction of Childhood Meatal Stenosis - 138 Isolated Stricture of the Fossa Navicularis Following Transurethral Resection Resurfacing of Fossa Navicularis - 139 Transverse Ventral Penile Skin Island - 139 Stricture Associated with Early Balanitis Xerotica Obliterans - 142 Stricture of the Fossa Navicularis with Redundancy of Dorsal Penile Skin - 142 17.1 Reconstruction of Acquired Meatal Stenosis and...