V13-06 RECONSTRUCTIVE ALGORITHM FOR MANAGEMENT OF VESICOURETHRAL ANASTOMOTIC STENOSIS

• DOI: 10.1097/01.ju.0001009532.52598.9a.06
• Publication Date: 2024-04-15T21:33:57Z
• Authors: Alexandr M. Pinkh...; Bridget L. Findlay; Garrett N. Ungerer; Anthony E. Fadel; Katherine T. Ande...; J. Nicholas Warner; Boyd R. Viers

You have accessJournal of UrologyLower Tract Reconstruction (including Transgender) II (V13)1 May 2024V13-06 RECONSTRUCTIVE ALGORITHM FOR MANAGEMENT OF VESICOURETHRAL ANASTOMOTIC STENOSIS Alexandr M. Pinkhasov, Bridget L. Findlay, Garrett N. Ungerer, Anthony E. Fadel, Katherine T. Anderson, J. Nicholas Warner, and Boyd R. Viers PinkhasovAlexandr Pinkhasov , FindlayBridget Findlay UngererGarrett Ungerer FadelAnthony Fadel AndersonKatherine Anderson WarnerJ. Warner ViersBoyd View All Author Informationhttps://doi.org/10.1097/01.JU.0001009532.52598.9a.06AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Vesicourethral anastomotic stenosis following radical prostatectomy, bladder neck contracture surgical intervention for benign prostatic hyperplasia can significant quality life impacts. Mild index cases be successfully managed endoscopically; however recurrent or severe should formally reconstructed with minimally invasive robotic techniques. We propose a reconstructive algorithm as an aid in planning. METHODS: A thorough work-up include retrograde urethrogram, voiding cystourethrogram, cystoscopy, MRI. RESULTS: Depending on the degree several different methods reconstruction undertaken. Short segment obliterative strictures amenable excision primary anastomosis. Patients narrow but not completely obliterated undergo YV-plasty if their urethral plate is >8mm. Long fixed may require downward advancement flap, while that extend through pelvic floor combined abdominoperineal approach pull through. Herein, we present these 4 reconstruction. CONCLUSIONS: Utilization enables successful assisted treatment recalcitrant vesicourethral stenosis. Source Funding: N/A © 2024 by American Urological Association Education Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e1157 Advertisement Copyright & Permissions© Inc.Metrics Information More articles this author Expand PDF downloadLoading ...