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[Surgical management of the distal urethral stricture diseases].

Beijing Da Xue Xue Bao Yi Xue Ban

December 2024

Department of Urology, Beijing Jishuitan Hospital, Capital Medical Universitay, Beijing 100035, China.

Objective: To evaluate the surgical methods for treating distal urethral stricture.

Methods: The clinical data of 80 patients with distal urethral stricture in Beijing Jishuitan Hospital, Captial Medical University between January 2018 and December 2022 were retrospectively collected. Including male genital lichen sclerosus (MGLS) 33 cases, iatrogenic injury 25 cases, postoperative hypospadias 12 cases, and other causes such as trauma 10 cases.

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Purpose: To conduct a rigorous assessment of in-hospital morbidity after urethroplasty according with the European Association of Urology (EAU) guidelines for complication reporting.

Methods: We retrospectively (2015-2019) identified 469 consecutive patients receiving urethroplasty (e.g.

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Purpose Of Review: Urethral reconstruction has evolved in the last several decades with the introduction of various techniques including fasciocutaneous skin flaps and buccal mucosal grafts. However, distal urethral strictures have continued to be a reconstructive challenge due to tendency for adverse cosmetic outcomes, risks of glans dehiscence or fistula formation, and stricture recurrence.

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Pelvic fracture urethral injury (PFUI) is relatively rare injury, and delayed urethroplasty is the gold standard for its repair. Because a failed urethroplasty results in increased scarring and reduced length of the available urethral segment, the salvage urethroplasty is a urologic challenge. We herein report the case of male patient with PFUI who could be salvaged after three failed urethroplasties.

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Background: The correlation between primary hypospadias repair and subsequent urethral strictures in adults has never been addressed.

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Design, Setting, And Participants: An observational, retrospective, descriptive study of adult patients with urethral strictures following hypospadias surgery was carried out in a single centre.

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