Background: Several surgical techniques have been described for the treatment of bulbar urethral strictures, and the main goal of modern surgery is to reduce morbidity and obtain the best outcome with the fewest complications. Currently, the superiority of one surgical technique over another has not yet been clearly defined. Methods: We analysed the historical background, advantages and disadvantages of several urethral approaches and graft placements, with the aim of focusing on the advantages of the ventral approach. Conclusions: For short bulbar strictures (<2 cm) the traditionally advocated method is excision and end-to-end anastomosis, whilst for longer strictures, in the last decade, the patch graft urethroplasty has been used, with buccal mucosa advocated as the standard material of substitution. Our analysis showed that the approach (dorsal vs. ventral) to the bulbar urethral lumen and the location of the patch (dorsal vs. ventral) are contentious issues. Overall, surgeons tend to use techniques that are easy, quick and give excellent outcomes with few complications. The graft urethroplasty using the ventral approach fulfils these requirements.

The advantages of the ventral approach to bulbar urethroplasty / E., Palminteri; E., Berdondini; DI PIERRO, GIOVANNI BATTISTA. - In: ARAB JOURNAL OF UROLOGY. - ISSN 2090-598X. - ELETTRONICO. - 11:4(2013), pp. 350-354.

The advantages of the ventral approach to bulbar urethroplasty

DI PIERRO, GIOVANNI BATTISTA
2013

Abstract

Background: Several surgical techniques have been described for the treatment of bulbar urethral strictures, and the main goal of modern surgery is to reduce morbidity and obtain the best outcome with the fewest complications. Currently, the superiority of one surgical technique over another has not yet been clearly defined. Methods: We analysed the historical background, advantages and disadvantages of several urethral approaches and graft placements, with the aim of focusing on the advantages of the ventral approach. Conclusions: For short bulbar strictures (<2 cm) the traditionally advocated method is excision and end-to-end anastomosis, whilst for longer strictures, in the last decade, the patch graft urethroplasty has been used, with buccal mucosa advocated as the standard material of substitution. Our analysis showed that the approach (dorsal vs. ventral) to the bulbar urethral lumen and the location of the patch (dorsal vs. ventral) are contentious issues. Overall, surgeons tend to use techniques that are easy, quick and give excellent outcomes with few complications. The graft urethroplasty using the ventral approach fulfils these requirements.
2013
Bulbar urethral; strictures; Urethroplasty; Approach; Dorsal; Ventral
01 Pubblicazione su rivista::01a Articolo in rivista
The advantages of the ventral approach to bulbar urethroplasty / E., Palminteri; E., Berdondini; DI PIERRO, GIOVANNI BATTISTA. - In: ARAB JOURNAL OF UROLOGY. - ISSN 2090-598X. - ELETTRONICO. - 11:4(2013), pp. 350-354.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/675766
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