Definitive surgery is deferred for about 8 to 12 weeks until the urethral scar tissue has stabilized and the patient has recovered from any accompanying injuries. Immediate open repair of urethral injuries is limited to those associated with penile fractures, penetrating injuries, and all injuries in...
The urethroplasty, also known as “open surgery,” is the surgical removal of the stricture with the reconstruction of the urethra. While this procedure is more involved and far more complex than other treatments, it is thought to have the best long-term outcomes and lowest rate of reoccurrenc...
A partial pubectomy may be necessary according to the situation. By the transperineoabdominal approach, the scar tissue can be bypassed through a broad sub-pubic-arch tunnel, and a reliable anastomosis achieved.泌尿器科紀要Kato HKobayashi SKawakami MInoue HIijima KNishizawa O...
Scar tissue is poorly vascularized and does not heal normally. Thus, we think that resection of scar tissue is central for the success of urethral reconstruction. When possible, anastomoses should be performed across healthy tissue. For bulbar strictures, excision and primary anastomosis (EPA) is ...
Treatments can include removal of the scar tissue and/or resection of the tissue around the scar tissue. U.S. Patent No. 6,607,477 to Longton et al. provides methods and systems for placing a source of therapeutic rays in the urethra at a desired location. In particular, a kit ...
device removal (days) Clinical urinary leakNilNilNS Post operativeNilNilNS retention Bladder neckNilNilNS contracture As is seen in the table 2, most patients achieved continence in 6-12 weeks. The catheter-less group had a greater percentage of patients who became continent almost immediately, ...
In addition, all patients were evaluated by urethroscopy at 3 months after catheter removal to endoscopically assess the site of the SVG and endoscopic appearance of the SVG. Failure was defined as failure to void or need for interventions in form of DVIU or endodilatation. Data were analysed...
The mucosa of the healed urethra exposed to the anti-fibrotic catheter was smooth and ruddy, and the abundance of submucosal fibrous connective tissue was almost identical to the adjacent normal tissue, while whitish, stiff, wrinkled scar tissue was visible in the remaining groups, showing ...
Surgical removal is the only treatment of choice for unusual massive encrustations in long-term indwelling urethral catheter. Minimally invasive technique is getting popularity, however we performed open cystostomy and removal due to the lack of expertise and instruments in our hospital setting. Cathet...
Before removing all scar tissue to prepare the recipient bed for the skin transplant, the length of the opened urethra has to be measured. A split-skin dermatome is used to harvest the graft from the inner side of the thigh. The harvest-area has to be healthy with no scars (see Figure...