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Surgical treatment of bulbar urethral strictures: Tips and tricks

Barbagli G., Bandini M., Balò S., Sansalone S., Butnaru D. V., Lazzeri M.
International Brazilian Journal of Urology
Vol.46, Issue4, Num.9904
Опубликовано: 2020
Тип ресурса: Статья

DOI:10.1590/S1677-5538.IBJU.2020.99.04

Аннотация:
The surgical treatment of bulbar urethral strictures is still one of the most challenging reconstructive-surgery problems. Bulbar urethral strictures are usually categorized as traumatic and non-traumatic strictures depending on the aetiology. The traumatic strictures are caused by trauma and they determine disruption of the urethra with obliteration of the urethral lumen, ending with fibrotic gaps between the urethral ends. Differently, the non-traumatic urethral strictures are mainly caused by catheterization, instrumentation, and infection, or they can also be idiopathic. They are usually associated with spongiofibrosis of the segment of the urethra that has been involved. Worldwide, two different surgical approaches are currently adopted for bulbar urethral repair: transecting techniques with end-to-end anastomosis and non-transecting techniques followed by grafting. Traumatic obliterated strictures require transection of the urethra allowing complete removal of the fibrotic tissue
Ключевые слова:
Anastomosis; Operative; Surgical; Surgical procedures; Urethra
Язык текста: Английский
ISSN: 1677-6119
Barbagli G.
Bandini M.
Balò S.
Sansalone S.
Butnaru D. V. Denis Viktorovich 1978-
Lazzeri M.
Барбагли Г.
Бандини М.
Балò С.
Сансалоне С.
Бутнару Д. В. Денис Викторович 1978-
Лаззери М.
Surgical treatment of bulbar urethral strictures: Tips and tricks
Текст визуальный непосредственный
International Brazilian Journal of Urology
Brazilian Society of Urology
Vol.46, Issue4 Num.9904
2020
Статья
Anastomosis Operative Surgical Surgical procedures Urethra
The surgical treatment of bulbar urethral strictures is still one of the most challenging reconstructive-surgery problems. Bulbar urethral strictures are usually categorized as traumatic and non-traumatic strictures depending on the aetiology. The traumatic strictures are caused by trauma and they determine disruption of the urethra with obliteration of the urethral lumen, ending with fibrotic gaps between the urethral ends. Differently, the non-traumatic urethral strictures are mainly caused by catheterization, instrumentation, and infection, or they can also be idiopathic. They are usually associated with spongiofibrosis of the segment of the urethra that has been involved. Worldwide, two different surgical approaches are currently adopted for bulbar urethral repair: transecting techniques with end-to-end anastomosis and non-transecting techniques followed by grafting. Traumatic obliterated strictures require transection of the urethra allowing complete removal of the fibrotic tissue