Outcome of non-transected anastmotic urethroplasty for management of short bulbar urethral stricture
Elsayed, M., Abd El Wahab, A., sallem, E., riad, A. (2019). Outcome of non-transected anastmotic urethroplasty for management of short bulbar urethral stricture. EKB Journal Management System, 23(2), 164-170. doi: 10.21608/smj.2019.47689
Mostafa Mahmoud Elsayed; Atef. Gammal Abd El Wahab; essam sallem; ahmed riad. "Outcome of non-transected anastmotic urethroplasty for management of short bulbar urethral stricture". EKB Journal Management System, 23, 2, 2019, 164-170. doi: 10.21608/smj.2019.47689
Elsayed, M., Abd El Wahab, A., sallem, E., riad, A. (2019). 'Outcome of non-transected anastmotic urethroplasty for management of short bulbar urethral stricture', EKB Journal Management System, 23(2), pp. 164-170. doi: 10.21608/smj.2019.47689
Elsayed, M., Abd El Wahab, A., sallem, E., riad, A. Outcome of non-transected anastmotic urethroplasty for management of short bulbar urethral stricture. EKB Journal Management System, 2019; 23(2): 164-170. doi: 10.21608/smj.2019.47689

Outcome of non-transected anastmotic urethroplasty for management of short bulbar urethral stricture

Sohag Medical Journal
Article 32, Volume 23, Issue 2, April 2019, Page 164-170  XML PDF (424.86 K)
Document Type: Original Article
DOI: 10.21608/smj.2019.47689
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Authors
Mostafa Mahmoud Elsayed; Atef. Gammal Abd El Wahab; essam sallem; ahmed riad
Department of Urology, Faculty of Medicine, Sohag University.
Abstract
Excision and end-to-end anastomosis (EPA) has been the preferred urethroplasty technique for short bulbar strictures and is associated with an excellent functional outcome. Driven by concerns over the potential morbidity associated with dividing the urethra, therefore compromising spongiosal blood flow, as well as spongiofibrosis being superficial in the majority of non-traumatic bulbar strictures, the nontransecting
technique for bulbar urethroplasty has been developed with the aim of achieving the same success as EPA without the morbidity associated with the transaction. This manuscript highlights the fundamental principles underlying the ongoing debate—transaction or non-transection of the strictured bulbar urethra? The potential advantages of avoiding dividing the corpus spongiosum of the urethra are discussed. The non-transecting anastomotic procedure together with its various modifications is described in detail. Our experience with this technique is presented. Non-transecting excision of spongiofibrosis with preservation of well vascularised underlying spongiosum provides an excellent alternative to dividing the urethra during urethroplasty for short non-traumatic proximal bulbar stricture.
 

 
Supplementary Files
References
  1. Ahmed A, Kalayi GD. Urethral stricture at Ahmadu Bello University Teaching Hospital, Zaria.East Afr Med J. 1998; 75(10):582- 585.
  2. Al-Qudah HS, Santucci RA (2005) Extended complications of urethroplasty. Int Braz J Urol 31:315–325.
  3. Al-Qudah HS, Santucci RA. Buccal mucosal only urethroplasty versus anastomotic urethroplasty (AU) for short urethral strictures: which is better? J Urol 2006;175:103.
  4. Alwaal A, Blaschko SD, McAninch JW, Breyer BN. Epidemiology of urethral strictures. Transl Androl Urol 2014; 3(2):209-213.
  5. Andrich DE, Dunglison N, Greenwell TJ et al (2003) The long-term results of urethroplasty. J Urol 170(1):90–92.
  6. Andrich DE, Leach CJ, Mundy AR. The Barbagli procedure gives the best results for patch urethroplasty of the bulbar urethra. BJU Int 2001;88:385-9.
  7. Andrich DE, Mundy AR. Complications of social lithotomy. BJU Int 2010;106:40–1.
  8. Andrich DE, Mundy AR. Non-transecting anastomotic bulbar urethroplasty: a preliminary report. BJU Int 2012;109:1090–4.
  9. Andrich DE, Mundy AR. What is the best technique for urethroplasty? Eur Urol 2008;54:1031–41.
  10. Anger JT, Buckley JC, Santucci RA, Elliott SP, Saigal CS: Trends in stricture management among male Medicare beneficiaries: underuse of urethroplasty? Urology 2011; 77: 481–5.
  11. Atak M, et al. Low-power holmium: YAG laser urethrotomy for urethral stricture disease: comparison of outcomes with the cold-knife technique. Kaohsiung J. Med. Sci. 2011;27:503–507.
  12. Barbagli G, De Angelis M, Romano G, et al. Long-term follow-up of bulbar end-to-end anastomosis: a retrospective analysis of 153 patients in a single-center experience. J Urol 2007;178:2470-3.
  13. Barbagli G, et al. Bulbar urethroplasty using buccal mucosa grafts placed on the ventral, dorsal or lateral surface of the urethra: are results affected by the surgical technique? J. Urol. 2005;174:955–958.
  14. Barbagli G, Guazzoni G, Lazzeri M. One-stage bulbar urethroplasty: a retrospective analysis of the results in 375 patients. Eur Urol 2008;53:828–33.
  15. Barbagli G, Palminteri E, Lazzeri M, Turini D. Interim outcomes of dorsal skin graft bulbar urethroplasty. J. Urol. 2004;172:1365–1367.
 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  1. Barbagli G, Perovic S, Djinovic R, Sansalone S, Lazzeri M. Retrospective descriptive analysis of 1,176 patients with failed hypospadias repair. J. Urol. 2010;183:207–211.
  2. Barbagli G, Sansalone S, Djinovic R, Romano G, Lazzeri M. Current controversies in reconstructive surgery of the anterior urethra: a clinical overview. Int. Braz. J. Urol. 2012;38:307–316.
  3. Baskin LS, McAninch JW (1993) Childhood urethral injuries: perspectives on outcome and treatment. Br J Urol 72:241–246.
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