Abstract
Surgical technical skills for urethroplasty can often be learned fairly quickly by the trainee. The difficult skill to acquire, which often requires years of experience, is proper pre- and intraoperative decision making. Herein we detail how to accurately evaluate urethral strictures by imaging, cystourethroscopy, and physical examination. Operative tricks and tips, patient selection, timing of surgery, patient positioning, and surgical technique specifics are elaborated. Key aspects of anterior and posterior urethroplasty are also detailed.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
DaSilva EA, Sampaio FJB. Urethral extensibility applied to reconstructive surgery. J Urol. 2002;167:2042–5.
Mundy AR. Urethroplasty for posterior urethral strictures. Br J Urol. 1996;78:243–7.
Yu GW, Miller HC. Critical maneuvers in urologic surgery. St. Louis: Mosby; 1996.
Andrich DE, Dunglison N, Greenwell TJ, Mundy AR. The long-term results of urethroplasty. J Urol. 2003;170:90–2.
Wessells H, McAnninch JW. Current controversies in anterior urethral stricture repair: Free graft versus pedicled slein-flap reconstruction. World J Urol. 1998;16(3):175–80.
Mundy AR. Reconstruction of posterior urethral distraction defects. Atlas Uro Clin NA. 1997;5(1):139–74.
Suggested Readings
Andrich DE, Dunglison N, Greenwell TJ, Mundy AR. The long-term results of urethroplasty. J Urol. 2003;170:90–2.
DaSilva EA, Sampaio FJB. Urethral extensibility applied to reconstructive surgery. J Urol. 2002;167:2042–5.
Johanson B. Reconstruction of the male urethra in strictures: application of the buried intact epithelium tracking. Acta Clin Scand. 1953;176(Suppl):1.
Kizer WS, Armenakas NA, Brandes SB, Cavalcanti AG, Santucci RA, Morey AF. Simplified reconstruction of posterior urethral disruption defects: limited role of supracrural rerouting. J Urol. 2007;177:1378–81.
Mundy AR. Urethroplasty for posterior urethral strictures. Br J Urol. 1996;78:243–7.
Quartey JKM. One-stage penile/preputial cutaneous island flap urethroplasty for urethral stricture: a preliminary report. J Urol. 1983;129:284.
Schreiter F, Noll F. Mesh graft urethroplasty using a split-thickness skin graft of foreskin. J Urol. 1989;142:1223.
Waterhouse K, Abrahms JI, Gruber H, et al. The transpubic approach to the lower urinary tract. J Urol. 1973;109:486.
Webster GD, Koerfoot RB, Sihelnik SA. Urethroplasty management in 200 cases of urethral stricture: a rationale for procedure selection. J Urol. 1985;134:892.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer Science+Business Media New York
About this chapter
Cite this chapter
Brandes, S.B. (2014). Decision Making and Surgical Technique in Urethroplasty. In: Brandes, S., Morey, A. (eds) Advanced Male Urethral and Genital Reconstructive Surgery. Current Clinical Urology. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4614-7708-2_1
Download citation
DOI: https://doi.org/10.1007/978-1-4614-7708-2_1
Published:
Publisher Name: Humana Press, New York, NY
Print ISBN: 978-1-4614-7707-5
Online ISBN: 978-1-4614-7708-2
eBook Packages: MedicineMedicine (R0)