In lichen sclerosus ls proven urethral stricture, surgeons should not use genital skin for reconstruction. Male urethral stricture american urological association. Brandes, 9781461477075, available at book depository with free delivery worldwide. This paper focuses on the most recent advances in male genital reconstruction after trauma, excision of benign and malignant disease, in gender reassignment surgery and. Hypospadias results from incomplete development of the urethra the tube that carries urine from the bladder to the tip of the penis. In this regard, this book will probably best fulfill the needs of anyone planning to surgically attack the.
The terminology describing male urethral anatomy is often used. Since the publication of the first edition of urethral reconstructive surgery, important refinements have been added to the urologic surgical armamentarium. Abstract male anterior urethral stricture is scarring of the. Urethral strictures mundy 2011 bju international wiley online. The urethra is the tube that carries urine out of the body from the bladder through the penis. Buccal epithelium expanded and encapsulated in scaffold. The opening can form on the undersurface of the penile shaft in any position from the tip of the penis to the scrotum see figure 1. Pdf advanced male urethral and genital reconstructive surgery.
Keith rourke, urologist and director of ahs urethral reconstruction program speaks with patient harvey marhand,73 about his lifeenhancing urethral surgery. Buccal mucosal urethroplasty is an open surgical substitution urethral reconstruction. Knowledge and the ability to apply the critical principles of plastic surgery and urology imaging techniques extensive knowledge of and technical experience in lower urinary tract reconstruction and male incontinence surgery aus, male urethral sling. The surgery is most often performed for urethral stricture or narrowing after trauma, such as a pelvic fracture. Unfortunately, redirected patients usually tend to have failed outcomes and urethral stricture complications that can lead to disastrous results. Surgeons should offer urethroplasty to patients with penile urethral strictures, given the expected high. Successful treatment of male urethral stricture requires selection. Redefining the male urethral stricture treatment paradigm.
Brandes, 9781493938933, available at book depository with free delivery worldwide. The volume closes with a new comprehensive appendix of preferred instruments. Advanced male urethral and genital reconstructive surgery. Pdf not all male voiding problems are due to the prostate and one will eventually meet a patient with various urethral conditions including. Surgical reconstruction is offered for a variety of conditions and can be categorized according to these sectional areas. Substitution urethroplasty using oral mucosa graft for male anterior. Urethral strictures are common and increasingly common in an ageing population. In fact, patients are usually redirected to doctors who do not specialize in male urethral and genital reconstructive surgery and only perform the surgery parttime. Where the opening is along the shaft of the penis determines how severe the condition is. Pdf advanced male urethral and genital reconstructive.
Excision and primary anastomosis reconstruction for. Male reconstructive urology also called male genitourinary reconstruction can be used to treat physical abnormalities, repair trauma related to major surgery or accidents, or manage certain bladder control problems like incontinence and oab. The use of genital skin must be avoided in all patients with a lichen. In this regard, this book will probably best fulfill the needs of anyone planning to surgically attack the problems involving the male urethra. More often than not the surgeon needs to be creative in the operating field and needs to have knowledge of the rights and wrongs in the reconstruction of the urethra and genital tract. The study group consisted of 150 men with a median range age of 40 1873 years who underwent 168 urethral reconstructive procedures for anterior urethral stricture disease between october 2003 and may 2009. Complex urethral vaginal surgery is performed to restore function and appearance to a sensitive and complicated region of the urethral and vaginal anatomy. Posterior urethral reconstruction is a surgical procedure for males that is sometimes needed after trauma to the urethra. Extensively revised and updated, advanced male urethral and genital reconstructive surgery, second edition guides urologists in a practical manner on how to evaluate and manage complex. It is a major procedure with morbidity of graft harvesting and urethral reconstruction. Beaumont is at the forefront of urological surgery, offering comprehensive services and programs to help patients with a number of reconstructive. Extensively revised and updated, advanced male urethral and genital reconstructive surgery, second edition guides urologists in a practical manner on how to evaluate and manage complex urethral and male genital reconstructive.
Although recurrence is the most worrisome complication, the procedure is associated with other complications, such as bleeding, wound infection, prolonged operative. In the genital and pelvic region, advanced surgery has evolved for all areas of reconstruction of the penis and scrotum, male urethral reconstruction, bladder reconstruction, and urogynecologic reconstruction. Jang hwan kim department of urology, yonsei university college of medicine email. The fellowship is a one year clinical position, designed to provide expertise in adult male reconstructive urology including. Male urethra and external genitalia anatomy peter a. Trauma and reconstruction fellowship department of urology. Advanced expertise in the multidisciplinary management of patients with urologic trauma. The use of flaps in urethral reconstructive surgery. Download ebook advanced male urethral and genital reconstructive surgery current clinical urologyfrom humana press. Obstacles encountered during this surgery include inadequate visualization, limited working space, and the scarred reoperative field. Surgeons should offer urethroplasty to patients with penile urethral strictures, given the. Gelmans practice is exclusively devoted to male urethral and penile reconstructive surgery. Chapters have been added on wound healing, synchronous urethral strictures, nontransecting anastomotic urethroplasty including muscle and vessel sparing, overlapping buccal grafts, male urethral slings, genital skin grafting, peyronies surgery, priapism, pediatric strictures and prosthetics. Pdf penile reconstruction in the male researchgate.
Advances in urogenital plastic surgical tissue transfer techniques have enabled urethral reconstruction surgery to become the new goldstandard for treatment of refractory urethral stricture disease. Impact on sexual function after reconstructive surgery for. To evaluate the effect of urethral reconstructive surgery on sexual drive, erectile function and ejaculation. Substitution urethroplasty using oral mucosa graft for. Chapters have been added on wound healing, synchronous urethral strictures, nontransecting anastomotic urethroplasty including muscle and vessel sparing, overlapping buccal grafts, male urethral slings, genital skin grafting, peyronies surgery. Jill buckley, a leading expert in male reconstructive urology, has coauthored numerous research studies and several surgical textbooks on urethral reconstruction, acute urinary trauma management and genitourinary reconstruction. This is an open access article distributed under the terms of the cre ative commons attribution noncommercial license. Extensively revised and updated, advanced male urethral and genital reconstructive surgery, second edition guides urologists in a practical manner on how to evaluate and manage complex urethral and male genital reconstructive challenges. The primary function of the varied surgical procedures is to correct defects or damage to allow the patient to enjoy a healthy, full life. Imaging of the male urethra nirvikar dahiya, christine o. Gelmans experience and belief that he can best perform urethral stricture and peyronies disease surgery, and other surgeries of the male urethra and external genitalia if his practice is exclusively limited to these areas of urology. Buy advanced male urethral and genital reconstructive surgery current clinical urology. Since the publication of the first edition of urethral reconstructive surgery, important refinements.
Advanced male urethral and genital reconstructive surgery current clinical urology ebook. With broad contributions by international authorities in reconstructive urologic surgery, advanced male urethral and genital reconstructive surgery, second edition is a valuable resource for all urologists, from residents to reconstructive surgeons. She is nationally recognized for her work in complex urinary reconstruction. Advanced male urethral and genital reconstructive surgery by steven b. Reconstruction of the male posterior urethra in patients with vesicourethral anastomotic stenosis is one of the most challenging reconstructive surgeries performed by urologists.