Advertisement

Principles of Urethral Stricture Reconstruction and Its Instrumentation

  • Mélanie Aubé
  • Michael Chua
  • Kurt A. McCammon
Chapter

Abstract

Urethral reconstruction is a delicate surgery that requires intricate knowledge and skill to perform. Principles of reconstructive surgery must always be upheld to guide patient management and optimize functional outcomes. Proper equipment and instruments are important tools to adequately evaluate the ca se at hand and preserve tissue health.

Keywords

Urethral reconstruction Urethroplasty Wound healing 

References

  1. 1.
    Hampson LA, McAninch JW, Breyer BN. Male urethral strictures and their management. Nat Rev Urol. 2014;11:43–50.CrossRefGoogle Scholar
  2. 2.
    McCallum RW. The adult male urethra: normal anatomy, pathology, and method of urethrography. Radiol Clin N Am. 1979;17:227–44.PubMedGoogle Scholar
  3. 3.
    Moncrief T, Gor R, Goldfarb RA, et al. Urethral rest with suprapubic cystostomy for obliterative or nearly obliterative urethral strictures: urethrographic changes and implications for management. J Urol. 2018;199:1289–95.CrossRefGoogle Scholar
  4. 4.
    Terlecki RP, Steele MC, Valadez C, et al. Urethral rest: role and rationale in preparation for anterior urethroplasty. Urology. 2011;77:1477–81.CrossRefGoogle Scholar
  5. 5.
    Scarberry K, Bonomo J, Gómez RG. Delayed posterior urethroplasty following pelvic fracture urethral injury: do we have to wait 3 months? Urology. 2018;116:193–7.CrossRefGoogle Scholar
  6. 6.
    Grober ED, Domes T, Fanipour M. Preoperative hair removal on the male genitalia: clippers vs. razors. J Sex Med. 2013;10:589–94.CrossRefGoogle Scholar
  7. 7.
    Yeung LL, Grewal S, Bullock A, et al. A comparison of chlorhexidine-alcohol versus povidone-iodine for eliminating skin flora before genitourinary prosthetic surgery: a randomized controlled trial. J Urol. 2013;189:136–40.CrossRefGoogle Scholar
  8. 8.
    Angermeier KW, Jordan GH. Complications of the exaggerated lithotomy position: a review of 177 cases. J Urol. 1994;151:866–8.CrossRefGoogle Scholar
  9. 9.
    McAdams PD, Tisdale BE, Henderson MF, et al. Post-operative complications of the exaggerated lithotomy position. J Urol. 2011;185(Suppl):e44. (Abstract 104).Google Scholar
  10. 10.
    Bascom A, Ghosh S, Fairey AS, et al. Assessment of wound complications after bulbar urethroplasty: the impact of a lambda perineal incision. Urology. 2016;90:184–8.CrossRefGoogle Scholar
  11. 11.
    Jordan GH, Eltahawy EA, Virasoro R. The technique of vessel sparing excision and primary anastomosis for proximal bulbous urethral reconstruction. J Urol. 2007;177:1799–802.CrossRefGoogle Scholar
  12. 12.
    MacDonald MF, Al-Qudah HS, Santucci RA. Minimal impact urethroplasty allows same-day surgery in most patients. Urology. 2005;66:850–3.CrossRefGoogle Scholar
  13. 13.
    Okafor H, Nikolavsky D. Impact of short-stay urethroplasty on health-related quality of life and patient’s perception of timing of discharge. Adv Urol. 2015;2015:806357.CrossRefGoogle Scholar
  14. 14.
    Diegelmann RF, Evans MC. Wound healing: an overview of acute, fibrotic and delayed healing. Front Biosci. 2004;1(9):283–9.CrossRefGoogle Scholar
  15. 15.
    McCammon KA, Zuckerman JM, Jordan GH. Surgery of the penis and urethra. In: Wein AJ, Kavoussi LR, Partin AW, et al., editors. Campbell-Walsh urology. 11th ed. Philadelphia: Elsevier; 2016. p. 907–9.Google Scholar
  16. 16.
    Markiewicz J, et al. Oral mucosa harvest: an overview of anatomic and biologic considerations. EAU-EBU Update Ser. 2007;5(5):179–87.CrossRefGoogle Scholar
  17. 17.
    Rourke K, McKinny S, St Martin B. Effect of wound closure on buccal mucosal graft harvest site morbidity: results of a randomized prospective trial. Urology. 2012;79:443–7.CrossRefGoogle Scholar
  18. 18.
    Zhang K, et al. Anterior urethra reconstruction with lateral lingual mucosa harvesting technique. Urology. 2016;90:208–12.CrossRefGoogle Scholar
  19. 19.
    Manoj B, et al. Postauricular skin as an alternative to oral mucosa for anterior onlay graft urethroplasty: a preliminary experience in patients with oral mucosa changes. Urology. 2009;74:345–8.CrossRefGoogle Scholar
  20. 20.
    Jordan GH. Reconstruction of the fossa navicularis. J Urol. 1987;138:102–4.CrossRefGoogle Scholar
  21. 21.
    Virasoro R, Eltahawy EA, Jordan GH. Long-term follow-up for reconstruction of strictures of the fossa navicularis with a single technique. BJU Int. 2007;100:1143–5.PubMedGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Mélanie Aubé
    • 1
  • Michael Chua
    • 2
  • Kurt A. McCammon
    • 2
  1. 1.Department of UrologyMcGill University Health CenterMontrealCanada
  2. 2.Department of UrologyEastern Virginia Medical SchoolNorfolkUSA

Personalised recommendations