Penoscrotal Transposition to Achieve Urethral Continuity After Long-Segment Urethral Defect: A Case Report
| Autor: | Yinglong Sa, Huiquan Shu, Lin Wang, Jie Gu, Chongrui Jin |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Cystography Health (social science) Urethroplasty medicine.medical_treatment 030232 urology & nephrology Urination lcsh:Medicine Anastomosis Penoscrotal transposition Urethral stenosis Long segment Fractures Bone 03 medical and health sciences 0302 clinical medicine Patient satisfaction Dysuria Urethral Diseases medicine Humans Abnormalities Multiple Pelvic Bones Postoperative Care Urethral Stricture business.industry lcsh:R Public Health Environmental and Occupational Health Urography Recovery of Function medicine.disease Surgery Treatment Outcome 030220 oncology & carcinogenesis Scrotum Pelvic fracture medicine.symptom business Follow-Up Studies Penis |
| Zdroj: | American Journal of Men's Health, Vol 12 (2018) |
| ISSN: | 1557-9891 1557-9883 |
| Popis: | Penoscrotal transposition and pendulous-prostatic anastomotic urethroplasty for the treatment of long-segment bulbar and membranous urethral stenosis is rarely reported. This study reports the case of a 43-year-old man with dysuria resulting from pelvic fracture. The patient had a long-term history of multiple urethral reconstructions and presented a long-segment bulbar and membranous urethral stenosis at imaging. Penoscrotal transposition and pendulous-prostatic anastomotic urethroplasty was performed and completed in 170 min (blood loss: 400 ml). Postoperative treatment was uneventful with favorable short-term outcomes and high patient satisfaction without recurrence at 12-month follow-up. This surgical technique should be attempted in carefully selected patients with long-segment bulbar and membranous urethral stenosis and performed by an experienced urethral reconstruction specialist. |
| Databáze: | OpenAIRE |
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