Year : 2011 | Volume
: 27 | Issue : 3 | Page : 378--384
Management of panurethral strictures
Apul Goel1, Anuj Goel2, Abhishek Jain1, Bhupendra Pal Singh1
1 Department of Urology, CSM Medical University, Formerly King George Medical College, Lucknow, Uttar Pradesh, India
2 Research Assistant, Wellcome Trust Centre of Human Genetics, University of Oxford, Oxford, United Kingdom
Introduction : Treatment of panurethral stricture is considered a surgical challenge. We searched the literature to present a comprehensive review.
Materials and Methods : A review of literature was performed using MEDLINE/PubMed database using terms źDQ╗urethral strictureźDQ╗ and źDQ╗urethroplasty.źDQ╗ Only articles published between 1990 and 2009 and written in English language were included in the review.
Results : The main causes of panurethral strictures are previous catheterization, urethral surgery, and lichen sclerosus. The treatment of each individual case has to be tailored according to the etiology, history of previous urethral surgeries, availability of local tissues for flap harvesting, availability of appropriate donor tissue, and the expertise of the treating surgeon. In patients with complicated strictures, previously failed urethroplasties and in patients with poor quality of urethral plate two-stage surgery is a better option. In all other situations, either a flap or graft urethroplasty or if adequate tissue is not available then combination of flap and graft gives reasonable success rates.
Conclusions : Panurethral strictures are relatively less common. For successful results, the surgeon should be experienced and should be familiar with all the treatment modalities.
B-2/19, Sector-F, Jankipuram, Lucknow - 226 020, Uttar Pradesh
|How to cite this article:|
Goel A, Goel A, Jain A, Singh BP. Management of panurethral strictures.Indian J Urol 2011;27:378-384
|How to cite this URL:|
Goel A, Goel A, Jain A, Singh BP. Management of panurethral strictures. Indian J Urol [serial online] 2011 [cited 2021 Dec 8 ];27:378-384
Available from: https://www.indianjurol.com/article.asp?issn=0970-1591;year=2011;volume=27;issue=3;spage=378;epage=384;aulast=Goel;type=0