Non-transecting bulbar urethroplasty is favored over transecting techniques.
World J Urol
; 38(12): 3013-3018, 2020 Dec.
Article
em En
| MEDLINE
| ID: mdl-31280330
ABSTRACT
PURPOSE:
To present current evidence supporting the vessel sparing technique to reconstruct bulbar urethral strictures via primary anastomosis.METHODS:
English literature review of presented series of transecting and non-transecting bulbar urethroplasty from 2000 to 2018.RESULTS:
Since its introduction in 2007, vessel-sparing excision and primary anastomosis (VS-EPA) has been utilized in multiple centers across the world. Success rates range from 90 to 98%, comparable to traditional transecting EPA. Complication rates and erectile function outcomes are similar or better in VS-EPA, according to recent publications.CONCLUSIONS:
Non-transection excision and primary anastomosis is a well-tolerated, highly successful reconstructive option for short bulbar urethral strictures in appropriately selected patients. Results are comparable with traditional transecting anastomosis and mid-term multinational follow-up has proven efficacy and safety of the technique. Further well-designed multi-institutional studies are necessary to determine superiority to traditional EPA in terms of surgical outcomes and erectile function preservation.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Uretra
/
Estreitamento Uretral
Limite:
Humans
/
Male
Idioma:
En
Revista:
World J Urol
Ano de publicação:
2020
Tipo de documento:
Article