Reconstructive Urethral Surgery

Since the publication of the first edition of Urethral Reconstructive Surgery, important refinements have been added to the urologic surgical armamentarium. 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. Chapters have been added on wound healing, synchronous urethral strictures, non-transecting anastomotic urethroplasty (including muscle and vessel sparing), overlapping buccal grafts, male urethral slings, genital skin grafting, Peyronie’s surgery, priapism, pediatric strictures and prosthetics. Such chapters greatly strengthen the overall appeal of the book. The volume closes with a new comprehensive appendix of preferred instruments. 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.

Urethral injury may be of secondary importance when the patient comes into the emergency room, but devastating urological complications, such as sexual dysfunction, incontinence, and stricture, may drastically impair quality of life in the long term. This book provides a comprehensive review of adult urethral reconstructive surgery. It evaluates complex urethral problems and includes practical aspects of wound healing and applicable plastic surgical techniques.

This textbook seeks to determine the current state-of-the-art of reconstructive urethral surgery and to identify new trends in this subspecialty of reconstructive urology. To this end, inter- tionally known experts and opinion leaders in the field were invited to Hamburg, Germany to discuss and demonstrate today’s commonly used surgical techniques. Dialogues that took place during this convention, held in the spring of 2001 at the General Hospital in Hamburg-Harburg, are presented in book chapter format in this volume. The text is rounded out by live recordings of the most important of the surgical procedures. (DVD included with this compendium. ) Our desire was to publish, in close collaboration with Springer, a surgical textbook that p- sents the most important basic and modern techniques in urethral surgery. These techniques are underscored with simple and instructive drawings and »live surgery« video clips. We consciously chose not to make the text an all-inclusive surgical text. Thus the techniques included reflect a deliberate subjective selection on the part of the editors. We focused on the »renaissance« of graft techniques. Much of the material is concentrated on buccal mucosal and preputial grafts Two-stage surgical techniques, particularly for complex cases or patients who have undergone multiple previous operations, are also included. This book is written for all urologists.

This textbook provides a guide to reconstructive surgery of genitourethral problems in male patients. The first section covers all aspects of urethral reconstruction, including the functional anatomy of the urethra, etiology, epidemiology, and demographic differences in urethral pathology. The second section focuses on surgical reconstruction of penile and scrotal anomalies and dysfunctions. Textbook of Male Genitourethral Reconstruction aims to aid the management of male genitourethral reconstruction patients by reviewing the recent advancements in technology and surgical technique. This book is relevant to urologists, plastic and reconstructive surgeons, medical students, and health care professionals working within urology and plastic surgery.Chapter “Tissue Transfer Techniques in the Management of Urethral Stricture Disease: Flaps and Grafts” is available open access under a Creative Commons Attribution 4.0 International License via link.springer.com.

Most of the patients with urethral stricture can be treated by the techniques described in the book. The book offers detailed information on the different techniques with surgical steps illustrated by color photos used by the authors for the treatment of male urethral strictures. Authored by world leaders in the field of urethral reconstruction. "Urethra is Urethra, Penis is Penis and don't touch Penis". These are the words of Dr. Guido Barbagli's patient with urethral stricture. It is important that patients are listened to carefully and their expectations are fullfilled. This book follows this principle.

This lavishly illustrated operative atlas consists of detailed, step-by-step descriptions of the procedures used in reconstruction of the female urinary tract from the kidney to the urethra. It is based on the extensive operative experience of two very experienced reconstructive urologists. The procedures described have been devised compeletely afresh or considerably developed during the course of many thousands of operations and thus represent a unique collection. Many of the procedures and "tips" have not been published before. The approach taken throughout the book is a functional one. The basic principles underlying reconstrucive urology are outlined and emphasis is placed on the fact that the logic of each procedure is dictated by a thorough understanding of the particular functional abnormality involved. In addition there is a wealth of practical tips, observations and clinical pearls built up over many years of surgical experience which help to reduce complications and make operations easier. Each operative procedure is described by a sequence of colour photographs with running captions explaining the pitfalls and points of particular importance at each stage. It will be an indispensible guide to reconstructive urology for urologists and gynaecologists alike.

Dr. Zhao has assembled the top experts in the field of urology to present state-of-the-art clinical reviews devoted to Male Urethral Reconstruction and the Management of Urethral Stricture Disease. The issue is divided into three sections, with focus on evlaluation and follow up, urethroplasty technique, and conditions affecting outcomes. Authors have specifically addressed the following topics: Definition of successful treatment and optimal follow up in urethral strictures; Cost analyses for evaluation and treatment of urethral strictures; Sexual dysfunction after urethroplasty; Endoscopic treatment of urethral stricture; Endoscopic treatment for urethral stenosis; Patient selection for urethroplasty technique: EPA vs Graft; Effect of graft location in urethroplasty; Non-transecting urethroplasty; Urethroplasty for panurethral urethral stricture; Use of alternative graft material in urethroplasty; Effect of Lichen Sclerosis on success of urethroplasty; Treatment of radiation induced urethral strictures; Effect of artificial urethral sphincters on strictures; Urethral strictures after transgender surgery; and Management of urethral strictures after hypospadias repair. Readers will come away with the current clinical diagnosis and management strategies that they can employ immediately.

Urinary symptoms in women have a very high prevalence rate. While the storage function of the bladder is similar in both genders, voiding function has marked differences with obvious anatomic and physiological genitourinary distinctions. Despite all advances in contemporary diagnostics and imaging, female bladder outlet obstruction and urethral stricture disease remain a conundrum to be deciphered in clinical practice. It is also seen that the female voiding symptoms and bladder outlet obstruction are poorly understood entities; which is also evident from the fact that Urethral dilatation in women is still a widely practiced procedure. This book provides a comprehensive understanding of female voiding disorders leading to bladder outlet obstruction and helps identify the women who will actually need reconstructive surgeries. The book begins with what is normal female voiding and then goes on to describe the various definitions of female bladder outlet obstruction along with controversies in Urodynamic diagnosis . As the functional causes are more common than actual strictures, this book elucidates on the knowledge of each of these differentials with their basic understanding and treatment outline, further throwing knowledge on the anatomical causes like pelvic organ prolapse and female urethral stricture. A separate section is dedicated to female urethral surgical anatomy and urethral reconstruction for urethral stricture as well as pelvic fracture urethral injury in females.