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Textbook of Male Genitourethral Reconstruction pp 93–102Cite as

Surgical Management of Fossa Navicularis and Distal Urethral Strictures

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Abstract

The management of Fossa Navicularis and distal urethral strictures remain a challenge for both reconstructive and general urologists. This is due to their location in the urethra, the risks of dehiscence, adverse cosmetic outcomes, fistula formation and most importantly stricture recurrence. With the advances in urethral reconstruction in the last few decades, various techniques can be utilized for the treatment of fossa navicularis and distal urethral strictures. These different techniques include: multi-staged and single staged procedures with the use of fasciocutaneous flaps, buccal mucosal grafts or a combination of both which could be performed through either open or transurethral approaches. Treatment modalities are trending towards single-staged repairs with grafts rather than multi-staged repairs with local skin flaps. The goal of this chapter is to describe the diagnosis and management of fossa navicularis and distal urethral strictures with the advantages and pitfalls of the different techniques.

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Authors and Affiliations

  1. SUNY Upstate Medical University, Syracuse, NY, USA

    Michael Daneshvar, Alexandr M. Pinkhasov & Dmitriy Nikolavsky

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  1. Michael Daneshvar
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  2. Alexandr M. Pinkhasov
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  3. Dmitriy Nikolavsky
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Editor information

Editors and Affiliations

  1. School of Medicine, University of Lisbon, Lisbon, Portugal

    Francisco E. Martins

  2. Kulkarni Reconstructive Urology Center, Pune, India

    Sanjay B. Kulkarni

  3. Department of Urology, Mayo Clinic, Rochester, MN, USA

    Tobias S. Köhler

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Daneshvar, M., Pinkhasov, A.M., Nikolavsky, D. (2020). Surgical Management of Fossa Navicularis and Distal Urethral Strictures. In: Martins, F.E., Kulkarni, S.B., Köhler, T.S. (eds) Textbook of Male Genitourethral Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-030-21447-0_8

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  • DOI: https://doi.org/10.1007/978-3-030-21447-0_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-21446-3

  • Online ISBN: 978-3-030-21447-0

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