Surgical Management of Fossa Navicularis and Distal Urethral Strictures.

Abstract:

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. RECENT FINDINGS:The surgical options for treatment of distal urethral strictures have changed throughout the years; however, there is no one universally accepted technique for their treatment. The current trend for treatment is shifting away from multi-staged procedures or the use of local skin flaps to single-stage transurethral procedures that utilize buccal mucosa with glans preservation. This chapter will describe the evolution of distal urethral stricture treatments tracking gradual improvements and modifications over time. The different interventions include transurethral approaches, such as dilations and visual urethrotomy, meatotomy, and meatoplasty/urethroplasty techniques including genital skin flaps and single- and double-stage repairs with buccal mucosal grafts.

journal_name

Curr Urol Rep

journal_title

Current urology reports

authors

Daneshvar M,Hughes M,Nikolavsky D

doi

10.1007/s11934-018-0792-1

subject

Has Abstract

pub_date

2018-04-17 00:00:00

pages

43

issue

6

eissn

1527-2737

issn

1534-6285

pii

10.1007/s11934-018-0792-1

journal_volume

19

pub_type

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