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A new approach to repair recurrent vescicourethral anastomotic strictures after radical prostatectomy: The use of prerectal access.
Urologia
December 2024
Urology Unit, Mater Dei Hospital, Bari, Italy.
Background: Vesicourethral anastomosis stenosis (VUAS) is a well-known complication of prostate cancer treatments, observed in up to 26% of the cases after radical prostatectomy. Conservative management, with single or even repeated transurethral dilation or endoscopic incision of the stenosis, is successful in many cases, but up to 9% of patients are destined to fail after endoscopic treatment. In these cases, a revision of the vesicourethral anastomosis is necessary and can be realized with different surgical approaches.
View Article and Find Full Text PDFAssessment of predictive factors in endoscopic internal urethrotomy for bulbar urethral strictures.
Actas Urol Esp (Engl Ed)
January 2025
Servicio de Urología, Hospital Universitario Marqués de Valdecilla, Santander, Spain; Universidad de Cantabria, Santander, Spain; Instituto de Investigación Valdecilla (IDIVAL), Santander, Spain.
Introduction: Direct vision internal urethrotomy (DVIU) is usually the first treatment offered to patients with bulbar urethral strictures (US). Advances in devices and surgical techniques have contributed to reducing associated complications. Despite the favorable success rate of DVIU, various factors predicting better outcomes have been studied, including patient characteristics, stricture features, and procedural aspects.
View Article and Find Full Text PDFTreatment of male anterior urethra strictures: Meatus, navicular fossa and penile urethra.
Fr J Urol
November 2024
Urology Department, Hopital Foch, Suresnes, France.
Introduction: Distal anterior urethral strictures (DAUS) affect the meatus, navicular fossa (NF) and penile urethra (PU). The main causes are inflammatory (lichen sclerosous [LS]), traumatic iatrogenic, or idiopathic. Post-hypospadias stenosis is common and constitutes a separate entity, dealt with in a separate article.
View Article and Find Full Text PDFGenitourethral foreign bodies: 20-year experience and outcomes from a single center.
Asian J Androl
November 2024
Urology Unit, Flinders Medical Centre, Bedford Park 5042, Australia.
The presentation of a foreign body in the lower urinary tract is a challenging urological emergency with highly variable management approaches. A retrospective cohort study was undertaken to identify the patients who presented with self-inserted genitourethral foreign body to adult tertiary centers within our local health network (Southern Adelaide Local Health Network, Adelaide, Australia) from October 2002 to October 2022. Patient demographics, type of foreign body, psychiatric comorbidities, retrieval techniques, complications, and readmission data were extracted.
View Article and Find Full Text PDFPredictors of urethral stricture recurrence following internal urethrotomy: A systematic review.
Urologia
October 2024
Division of Urology/Urooncology, Department of Surgery, School of Medicine, Universidad del Valle, Cali, Colombia.
Article Synopsis
- The study aimed to identify factors linked to the recurrence of urethral stricture in patients who underwent internal urethrotomy.
- A systematic review was conducted, analyzing 402 studies but ultimately including 6 clinical trials involving 1,723 patients with urethral stricture.
- The main finding was that the length of urethral stricture was the strongest predictor of recurrence, with additional factors including the cause of the stricture, previous treatments, and low urine flow rates.
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