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Complicated bulbar urethral stricture successfully treated using augmented anastomotic urethroplasty: A case report

INTRODUCTION: Management of a complicated urethral stricture is a urological challenge. We present a case of a complicated urethral stricture successfully treated using augmented anastomotic urethroplasty. CASE PRESENTATION: A 48‐year‐old man visited our department for the treatment of urethral stri...

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Detalles Bibliográficos
Autores principales: Tabei, Tadashi, Horiguchi, Akio, Kobayashi, Kazuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292066/
https://www.ncbi.nlm.nih.gov/pubmed/32743441
http://dx.doi.org/10.1002/iju5.12113
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author Tabei, Tadashi
Horiguchi, Akio
Kobayashi, Kazuki
author_facet Tabei, Tadashi
Horiguchi, Akio
Kobayashi, Kazuki
author_sort Tabei, Tadashi
collection PubMed
description INTRODUCTION: Management of a complicated urethral stricture is a urological challenge. We present a case of a complicated urethral stricture successfully treated using augmented anastomotic urethroplasty. CASE PRESENTATION: A 48‐year‐old man visited our department for the treatment of urethral stricture, for which repeated transurethral procedures had failed. The operative view revealed that the urethral lumen was, in fact, completely obliterated over a 30‐mm segment. We proceeded with augmented anastomotic urethroplasty. After the excision of the obliterated lesion, the ventral half of the bulbar urethral ends was anastomosed and their dorsal half was subsequently augmented via buccal mucosa spread and then fixed to the corpus cavernosa. There has been no indication of recurrence, 4 months after the procedure. CONCLUSION: Augmented anastomotic urethroplasty is a useful technique for repairing a complicated bulbar stricture. Urologists should understand appropriate indications for each treatment method so as to not make cases more complicated to treat.
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spelling pubmed-72920662020-07-30 Complicated bulbar urethral stricture successfully treated using augmented anastomotic urethroplasty: A case report Tabei, Tadashi Horiguchi, Akio Kobayashi, Kazuki IJU Case Rep Case Reports INTRODUCTION: Management of a complicated urethral stricture is a urological challenge. We present a case of a complicated urethral stricture successfully treated using augmented anastomotic urethroplasty. CASE PRESENTATION: A 48‐year‐old man visited our department for the treatment of urethral stricture, for which repeated transurethral procedures had failed. The operative view revealed that the urethral lumen was, in fact, completely obliterated over a 30‐mm segment. We proceeded with augmented anastomotic urethroplasty. After the excision of the obliterated lesion, the ventral half of the bulbar urethral ends was anastomosed and their dorsal half was subsequently augmented via buccal mucosa spread and then fixed to the corpus cavernosa. There has been no indication of recurrence, 4 months after the procedure. CONCLUSION: Augmented anastomotic urethroplasty is a useful technique for repairing a complicated bulbar stricture. Urologists should understand appropriate indications for each treatment method so as to not make cases more complicated to treat. John Wiley and Sons Inc. 2019-07-28 /pmc/articles/PMC7292066/ /pubmed/32743441 http://dx.doi.org/10.1002/iju5.12113 Text en © 2019 The Authors. IJU Case Reports published by John Wiley & Sons Australia, Ltd on behalf of the Japanese Urological Association. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Case Reports
Tabei, Tadashi
Horiguchi, Akio
Kobayashi, Kazuki
Complicated bulbar urethral stricture successfully treated using augmented anastomotic urethroplasty: A case report
title Complicated bulbar urethral stricture successfully treated using augmented anastomotic urethroplasty: A case report
title_full Complicated bulbar urethral stricture successfully treated using augmented anastomotic urethroplasty: A case report
title_fullStr Complicated bulbar urethral stricture successfully treated using augmented anastomotic urethroplasty: A case report
title_full_unstemmed Complicated bulbar urethral stricture successfully treated using augmented anastomotic urethroplasty: A case report
title_short Complicated bulbar urethral stricture successfully treated using augmented anastomotic urethroplasty: A case report
title_sort complicated bulbar urethral stricture successfully treated using augmented anastomotic urethroplasty: a case report
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292066/
https://www.ncbi.nlm.nih.gov/pubmed/32743441
http://dx.doi.org/10.1002/iju5.12113
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