Updates in substitution urethroplasty for anterior male urethral strictures
DOI:
https://doi.org/10.52786/isu.a.61Keywords:
Substitution, urethroplasty, anterior, male, urethral stricturesAbstract
Substitution urethroplasty is an essential tool in the armamentarium of management of anterior urethral strictures, due to the limitations of anastomotic urethroplasty for penile urethral strictures and bulbar strictures beyond 2 cm in length. Various urethroplasty techniques with different grafts or flaps have been described. In this review article, the rationale of utilisation of different substitution urethroplasty techniques are described. Evaluation of urethroplasty outcomes should include not only voiding function and sexual outcomes, but also patient-reported outcome measures (PROMs) and overall satisfaction.
References
Bertrand LA, Warren GJ, Voelzke BB, Elliott SP, Myers JB, McClung CD, et al. Lower urinary tract pain and anterior urethral stricture disease: preva- lence and effects of urethral reconstruction. J Urol 2015;193:184-9.
Santucci RA, Joyce GF, Wise M. Male urethral stricture disease. J Urol 2007;177:1667-74.
Lumen N, Campos-Juanatey F, Dimitropoulos K, Greenwell T, Martins FE, Osman N, et al. EAU Guidelienes on Urethral Strictures [Internet]. EAU 2022. [cited 2022 October 1]. Availiable from: https://d56bochluxqnz.cloudfront.net/documents/ full-guideline/EAU-Guidelines-on-Urethral-Strictures-2022.pdf
Purohit RS, Golan R, Copeli F, Weinberger J, Bene- don M, Mekel G, et al. Natural History of Low-stage Urethral Strictures. Urology 2017;108:180-3.
Horiguchi A, Shinchi M, Ojima K, Arai Y, Hatanaka M, Ito K, et al. Surgical and patient-reported outcomes of urethroplasty for bulbar stricture due to a straddle injury. World J Urol 2020;38:1805-11.
Bugeja S, Andrich DE, Mundy AR. Non-transecting bulbar urethroplasty. Transl Androl Urol 2015;4: 41-50.
Palminteri E, Manzoni G, Berdondini E, Fiore FD, Testa G, Poluzzi M, et al. Combined dorsal plus ventral double buccal mucosa graft in bulbar urethral reconstruction. Eur Urol 2008;53:81-90.
Martins FE, de Oliveira PS, Martins NM. Historical Perspective and Innovations in Penile Urethroplasty.In: Pang R, editor. Lower urinary tract dysfunction - from evidence to clinical practice. London: IntechOpen; 2020: p. 1-35.
Barratt R, Chan G, La Rocca R, Dimitopoulos K, Martins FE, Campos-Juanatey, et al. Free graft augmentation urethroplasty for bulbar urethral strictures: Which technique is best? a systematic review. Eur Urol 2021;80:57-68.
Barbagli G, Selli C, Di Cello V, Mottola A. A one- stage dorsal free-graft urethroplasty for bulbar urethral strictures. Br J Urol 1996;78:929-32.
Asopa HS, Garg M, Singhal GG, Singh L, Asopa J, Nischal A. Dorsal free graft urethroplasty for urethral stricture by ventral sagittal urethrotomy approach. Urology 2001;58: 657-9.
Kulkarni S, Barbagli G, Sansalone S, Lazzeri M. One-sided anterior urethroplasty: A new dorsal onlay graft technique. BJU Int 2009;104:1150-5.
Elliott SP, Metro MJ, McAninch JW. Long-term followup of the ventrally placed buccal mucosa onlay graft in bulbar urethral reconstruction. J Urol 2003;169:1754-7.
Horiguchi A. Substitution urethroplasty using oral mucosa graft for male anterior urethral stricture disease: Current topics and reviews. Int J Urol 2017; 24:493-503.
Lumen N, Oosterlinck W, Hoebeke P. Urethral reconstruction using buccal mucosa or penile skin grafts: Systematic review and meta-analysis. Urol Int 2012;89:387-94.
Vanni AJ. New frontiers in urethral reconstruction: Injectables and alternative grafts. Transl Androl Urol 2015;4:84-91.
Pansadoro V, Emiliozzi P. Re: The tunica vaginalis dorsal graft urethroplasty: Initial experience. Int Braz J Urol 2007;33:711-2.
Xu YM, Qiao Y, Sa YL, Wu DL, Zhang XR, Zhang J, et al. Substitution urethroplasty of complex and long-segment urethral strictures: a rationale for procedure selection. Eur Urol 2007;51:1093-8.
Belsante MJ, Selph JP, Peterson AC. The contemporary management of urethral strictures in men resulting from lichen sclerosus. Transl Androl Urol 2015;4:22-8.
Bryk DJ, Yamaguchi Y, Zhao LC. Tissue transfer techniques in reconstructive urology. Korean J Urol 2015;56:478-86.
Welk BK and Kodama RT. The augmented nontransected anastomotic urethroplasty for the treatment of bulbar urethral strictures. Urology 2012;79:917-21.
Joshi PM, Barbagli G, Batra V, Surana S, Hamouda A, Sansalone S, et al. A novel composite two-stage urethroplasty for complex penile strictures: A multicenter experience. Indian J Urol 2017;33:155-8.
Erickson BA and Ghareeb GM. Definition of Successful Treatment and Optimal Follow-up after Urethral Reconstruction for Urethral Stricture Disease. Urol Clin North Am 2017;44:1-9.
Erickson BA, Granieri MA, Meeks JJ, Mcvary KT, Gonzalez C. Prospective analysis of ejaculatory function after anterior urethral reconstruction. J Urol 2010;184: 238-42.
Mundy AR. Results and complications of urethroplasty and its future. Br J Urol 1993;71:322-5.
Coursey JW, Morey AF, McAninch JW, Summerton DJ, Secrest C, White P, et al. Erectile function after anterior urethroplasty. J Urol 2001;166:2273-6.
Anger JT, Sherman ND, Webster GD. The effect of bulbar urethroplasty on erectile function. J Urol 2007;178:1009-11.
Baradaran N, Hampson LA, Edwards TC, Voelzke BB, Breyer BN. Patients-Reported Outcome Measures in Urethral Reconstruction. Curr Urol Rep 2018;19:48.
Jackson MJ, Sciberras J, Mangera A, Brett A, Watkin N, N’dow JMO, et al. Defining a patient-reported outcome measure for urethral stricture surgery. Eur Urol 2011;60:60-8.
Kulkarni S, Barbagli G, Sansalone S, Lazzeri M. One-sided anterior urethroplasty: a new dorsal onlay graft technique. BJU Int 2009;104:1150-5.
Kulkarni S, Kulkarni J, Surana S, Joshi PM. Man- agement of Panurethral Stricture. Urol Clin North Am 2017;44:67-75.
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