Panurethral and complex urethral strictures. Reconstruction in several steps: current techniques and indications.
Arch Esp Urol
; 67(1): 104-10, 2014.
Article
em En
| MEDLINE
| ID: mdl-24531677
ABSTRACT
Patients with panurethral and complex urethral strictures after failed urethral reconstruction due to strictures and hypospadias repair is a rare but challenging condition. Contemporary surgical techniques include one and two staged urethroplasties using different graft substitutes (i.e., buccal mucosa) or full thickness skin grafts (i.e., from the inner thigh(, thereby providing satisfactory results with reducing the re-stricture rate in these patients. However, all current techniques do so at the expense of higher revision rates and thus requiring multiple procedures. Studies investigating the outcomes of reconstruction in panurethral and complex urethral strictures often have heterogeneous patient cohorts including children and adults, different underlying causes, and different techniques, thus allowing only limited interpretation of the published data. In the field of urethral reconstruction, where personal experience and expertise presents an accepted necessity, however, leading to rather small single center studies,only well-designed randomized clinical trials can truly answer the question of which technique will be advantageous in these patients.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Contexto em Saúde:
1_ASSA2030
Problema de saúde:
1_doencas_nao_transmissiveis
Assunto principal:
Procedimentos Cirúrgicos Urológicos Masculinos
/
Estreitamento Uretral
/
Procedimentos de Cirurgia Plástica
Tipo de estudo:
Etiology_studies
/
Observational_studies
Limite:
Adult
/
Child
/
Humans
/
Male
Idioma:
En
Revista:
Arch Esp Urol
Ano de publicação:
2014
Tipo de documento:
Article