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• W2067753726 abstract "No AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Apr 2002Anastomotic Urethroplasty For Bulbar Urethral Stricture: Analysis Of 168 Patients Richard A. Santucci, Layla A. Mario, and Jack W. M c Aninch Richard A. SantucciRichard A. Santucci Current address: Wayne State University School of Medicine, 4160 John R, Suite 1017, Detroit, Michigan 48201. More articles by this author , Layla A. MarioLayla A. Mario More articles by this author , and Jack W. M c AninchJack W. M c Aninch More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)65184-1AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We reviewed our experience with anastomotic urethroplasty for anterior urethral stricture. Materials and Methods: A chart review revealed 168 patients 6 to 82 years old (mean age 38) with at least 6 months of followup (mean 70, range 6 to 291) after anastomotic urethroplasty. Results: Average stricture length was 1.7 cm. Of the 168 patients stricture recurred in 8 (5%) but was managed by direct vision internal urethrotomy or a single dilation in 5, while repeat urethroplasty was required in 3 (2%). In these 3 cases extenuating circumstances included patient dislodgment of the catheter with attempts to replace it that disrupted repair, a history of urethrocutaneous fistula and periurethral abscess, and previous irradiation complicating the stricture in 1 each. Other complications were uncommon, such as transient thigh pain or numbness in 3 patients (2%), small wound dehiscence in 2 (1%), and scrotal hematoma, erectile dysfunction and self-limited pulmonary edema in 1 (less than 1%) each. Conclusions: Anastomotic urethroplasty for anterior stricture has a high success rate of 95%. It is technically straightforward and complications are uncommon. Cure by anastomotic urethroplasty should be strongly favored over long-term management by direct vision internal urethrotomy or dilation. References 1 : Internal urethrotomy in the management of anterior urethral strictures: long-term followup. J Urol1996; 156: 73. Link, Google Scholar 2 : Treatment of male urethral strictures: is repeated dilation or internal urethrotomy useful?. J Urol1998; 160: 356. Link, Google Scholar 3 : Long-term results of optical urethrotomy. Br J Urol1983; 55: 698. Google Scholar 4 : Erectile impotence as complication of direct vision cold knife urethrotomy. Urology1981; 18: 467. Google Scholar 5 : Internal urethrotomy with the Sachse urethrotome. Scand J Urol Nephrol1981; 15: 189. Google Scholar 6 : Results and complications of urethroplasty and its future. Br J Urol1993; 71: 322. 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DeLong J, Brandes S, Hagedorn J, Levin R, Schlaifer A, DeSouza E, DiMarco D, Erickson B, Natale R, Husmann D, Morey A, Olsson C and Virasoro R (2021) One-Year Results for the ROBUST III Randomized Controlled Trial Evaluating the Optilume® Drug-Coated Balloon for Anterior Urethral StricturesJournal of Urology, VOL. 207, NO. 4, (866-875), Online publication date: 1-Apr-2022.Khalil M, Tourchi A, Kamel M, Davis R and Eltahawy E (2019) Vessel and Muscle Sparing Techniques in Bulbous Urethroplasty: A ReviewUrology Practice, VOL. 7, NO. 3, (212-219), Online publication date: 1-May-2020.Chapman D, Cotter K, Johnsen N, Patel S, Kinnaird A, Erickson B, Voelzke B, Buckley J and Rourke K (2019) Nontransecting Techniques Reduce Sexual Dysfunction after Anastomotic Bulbar Urethroplasty: Results of a Multi-Institutional Comparative AnalysisJournal of Urology, VOL. 201, NO. 2, (364-370), Online publication date: 1-Feb-2019.Horiguchi A, Shinchi M, Masunaga A, Ito K, Asano T and Azuma R (2017) Do 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McANINCH J (2018) Straddle Injuries to the Bulbar Urethra: Management and Outcomes in 78 PatientsJournal of Urology, VOL. 171, NO. 2, (722-725), Online publication date: 1-Feb-2004.HSIAO K, BAEZ-TRINIDAD L, LENDVAY T, SMITH E, BROECKER B, SCHERZ H and KIRSCH A (2018) Direct Vision Internal Urethrotomy for the Treatment of Pediatric Urethral Strictures: Analysis of 50 PatientsJournal of Urology, VOL. 170, NO. 3, (952-955), Online publication date: 1-Sep-2003.KESSLER T, SCHREITER F, KRALIDIS G, HEITZ M, OLIANAS R and FISCH M (2018) Long-term Results of Surgery For Urethral Stricture: A Statistical AnalysisJournal of Urology, VOL. 170, NO. 3, (840-844), Online publication date: 1-Sep-2003. Volume 167Issue 4April 2002Page: 1715-1719 Advertisement Copyright & Permissions© 2002 by American Urological Association, Inc.Keywordsurethral strictureurethrasurgical anastomosisMetricsAuthor Information Richard A. Santucci Current address: Wayne State University School of Medicine, 4160 John R, Suite 1017, Detroit, Michigan 48201. More articles by this author Layla A. Mario More articles by this author Jack W. M c Aninch More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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