Entero-urethroplasty for the salvage of bulbo-membranous stricture disease or trauma

BJU International
Anthony R Mundy, Daniela E Andrich

Abstract

To describe a salvage procedure for bulbo-membranous stricture disease or trauma. Over a 10-year period 11 patients with otherwise unsalvageable strictures of the bulbo-membranous urethra or defects after trauma were treated by interposition of a tailored intestinal flap. An intestinal flap, on average 8 cm in length, was harvested from the ileum, the stomach, the right colon or (preferably) the sigmoid colon, and tailored to a calibre of 26-30 F. It was then sutured between the stump of the prostate and the distal bulbar or proximal pendulous urethra either following the normal perineal route for the urethra or a more direct route through a trench cut in the superior pubic ramus. Three patients developed proximal anastomotic contractures requiring interval dilatation in one and revision in two. Two patients developed a stone in the gut segment one of which was removed traumatically causing irreparable damage to the neourethra. The results were otherwise satisfactory. For an otherwise unsalvageable bulbo-membranous stricture or defect, a tailored flap of intestine, preferably sigmoid colon, gives satisfactory results. Of the two potential routes for the neourethra, we have more experience with the normal route but the direct ro...Continue Reading

References

Jan 18, 2003·World Journal of Gastroenterology : WJG·Yue-Min XuRong Chen

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Citations

Feb 27, 2018·Current Urology Reports·Alison C Levy, Alex J Vanni
Sep 10, 2010·Current Opinion in Urology·Altaf Mangera, Christopher Chapple
May 29, 2015·Arab Journal of Urology·Sanjay B KulkarniFaisal Alhajeri
Jun 18, 2014·Current Urology Reports·Miroslav L Djordjevic
Sep 6, 2019·World Journal of Urology·Sanjay B KulkarniPankaj M Joshi
Sep 8, 2011·Current Opinion in Urology·Ofer Z Shenfeld, Ehud Gnessin
Mar 22, 2019·International Journal of Urology : Official Journal of the Japanese Urological Association·Akio Horiguchi
Apr 13, 2018·Current Urology Reports·Javier C AnguloDmitriy Nikolavsky
Mar 21, 2021·International Journal of Urology : Official Journal of the Japanese Urological Association·Tadashi TabeiRyuichi Azuma

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