Universität zu Köln

Zugor, Vahudin, Porres, Daniel, Karapanos, Leonidas, Heidenreich, Axel and Akbarov, Ilgar (2017). Reconstructive urethral surgery. Aktuelle Urol., 48 (6). S. 569 - 576. STUTTGART: GEORG THIEME VERLAG KG. ISSN 1438-8820

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Abstract

Urethral strictures are independent of a patient's age and can happen in every life period. They are often iatrogenic, resulting from a transurethral surgical procedure or traumatic catheterisation. Endoscopic slotting is the surgery of choice; although this method is frequently associated with recurrence. Retrograde urethrography or cystourethrography continue to play a central role in diagnostic evaluation and treatment. There is no standardised procedure regarding the surgical technique, perioperative management, and postoperative follow-up. Evidence-based recommendations or guidelines do not exist. For a successful surgical treatment of the urethra it is important to have an excellent knowledge of the urethral and urogenital anatomy. The permanent removal of urethral strictures can only be achieved by open reconstructive surgery. Direct end-toend urethroplasty is used, in general, for short bulbar urethral strictures, while urethroplasty with oral mucosa is used for longer bulbar and penile strictures. Urethral reconstruction using a patient-specific autologous cell transplant with MukoCell (R) is an alternative to the conventional transplantation with native oral mucosa. Urethral reconstruction should be performed in specialised centres with appropriate expertise.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Zugor, Vahudin UNSPECIFIED UNSPECIFIED UNSPECIFIED Porres, Daniel UNSPECIFIED UNSPECIFIED UNSPECIFIED Karapanos, Leonidas UNSPECIFIED UNSPECIFIED UNSPECIFIED Heidenreich, Axel UNSPECIFIED UNSPECIFIED UNSPECIFIED Akbarov, Ilgar UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-208415
DOI:	10.1055/s-0043-107042
Journal or Publication Title:	Aktuelle Urol.
Volume:	48
Number:	6
Page Range:	S. 569 - 576
Date:	2017
Publisher:	GEORG THIEME VERLAG KG
Place of Publication:	STUTTGART
ISSN:	1438-8820
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language TERM-FOLLOW-UP; INTERNAL URETHROTOMY; BUCCAL MUCOSA; ANASTOMOTIC URETHROPLASTY; ANTERIOR URETHROPLASTY; RETROSPECTIVE ANALYSIS; BULBAR URETHROPLASTY; GRAFT URETHROPLASTY; STRICTURES; EXPERIENCE Multiple languages Urology & Nephrology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/20841