Reconstructive Options in Panurethral Stricture Disease

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Reconstructive Options in Panurethral Stricture Disease

May 3, 2021 Medical Science 0

Long-segment urethral stricture, also known as panurethral stricture disease, is a less common lesion of the anterior urethra than bulbar stricture. It affects the different anatomic segments of the anterior urethra. The reconstructive urologist, on the other hand, faces an especially challenging surgical challenge. The aetiology differs by age and geographic area, with lichen sclerosus being the most common in some parts of the world. Previous endoscopic urethral manipulations (urethral catheterization, cystourethroscopy, and transurethral resection), previous urethral surgery, trauma, inflammation, and idiopathic are all important and significant causes. In Western or developed countries, iatrogenic causes are the most common, with lichen sclerosus being the most common in India. Several surgical procedures and variations, including those performed in one or more stages and involving adjunct tissue transfer manoeuvres, have been developed and used around the world, with varying degrees of long-term performance. Because of its efficacy and repeatability, a one-stage, minimally invasive procedure accessed via a single perineal incision has gained widespread popularity. Nonetheless, for a good outcome, the reconstructive urologist should be well-versed in the various treatment options currently available and choose the right procedure for each patient. Any urethral reconstructive procedure will eventually cause sexual dysfunction, so it’s important to pay close attention to it.

Author (s) Details

Francisco E. Martins
Department of Urology, Hospital Santa Maria, University of Lisbon, School of Medicine, 1600-161 Lisbon, Portugal

João Felício
Department of Urology, Armed Forces Hospital, Lisbon, Portugal

Natalia Martins
Department of Urology, Armed Forces Hospital, Lisbon, Portugal

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