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Trauma, iatrogenic injury and infections are the most common causes of urethral injury/defect requiring repair. Urethroplasty is regarded as the gold standard treatment for urethral strictures and offers better outcomes in terms of recurrence rates than dilatations and urethrotomies. It is probably the only useful modality of treatment for long ...
It is most often performed in the outpatient setting, with the patient (usually) being discharged from the hospital or surgery center within six hours from the procedure's inception. [citation needed] Urethrotomy (also referred to as DVIU, or Direct Visual Internal Urethrotomy) is a popular treatment for male urethral strictures. However, the ...
A urethral stricture is a narrowing of the urethra, the tube connected to the bladder that allows urination. The narrowing reduces the flow of urine and makes it more difficult or even painful to empty the bladder. [1] Urethral stricture is caused by injury, instrumentation, infection, and certain non-infectious forms of urethritis. The ...
The protection provided by the foreskin for the glans penis and meatus has been recognized since 1915. In the absence of the foreskin the meatus is exposed to mechanical and chemical irritation from ammoniacal diaper (nappy) that produces blister formation and ulceration of the urethral opening, which eventually gives rise to meatal stenosis (a narrowing of the opening). [1]
A meatotomy (/ m iː ə ˈ t ɒ t əm ɪ / [1] [2]) is a form of penile modification in which the underside of the glans is split, extending the urinary meatus.The procedure may be performed by a doctor to alleviate meatal stenosis or urethral stricture.
For people who would otherwise leak via the urethra, the Mitrofanoff channel can provide continence and enable them to stop using diapers. [17] Other conditions for which the procedure may be appropriate include urethral cancer, congenital absence of a urethra, Prune Belly syndrome, sacral agenesis, and traumatic loss of urethra from a gunshot ...
Management of urethral stricture in women. The Journal of urology. 2012 Nov;188(5):1778-82. Cited 42 times according to GoogleScholar [27] Most recent published book chapters include: Laudano MA, Weinberger JM, Purohit RS, Blaivas JG, “Transvaginal Urethrolysis for Urethral Obstruction” Female Pelvic Surgery ed. Firoozi F., Springer 2014. [28]
Most patients do well with this but occasionally, stricture of the repair recurs and the patients may require redo surgery. Surgery involves making an incision between the anus and scrotum (perineal incision) and dissecting out the bulbar urethra and locating the scar and membranoprostatic urethra. Dissecting the bulbar urethra destroys the ...
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