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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
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IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...

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Related Experiment Video

Updated: May 20, 2026

Vessel-sparing Excision and Primary Anastomosis
08:09

Vessel-sparing Excision and Primary Anastomosis

Published on: January 7, 2019

Bulbar urethroplasty: transecting vs. nontransecting techniques.

Guido Barbagli1, Salvatore Sansalone, Giuseppe Romano

  • 1Center for Reconstructive Urethral Surgery, Arezzo, Italy.

Current Opinion in Urology
|July 25, 2012
PubMed
Summary

Both transecting and nontransecting bulbar urethroplasty techniques show high success rates for treating urethral strictures. Further research is needed to determine the optimal approach for bulbar urethral stricture repair.

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Urethral Stricture Induction Followed by Buccal Mucosa Graft Urethroplasty in a Rat Model
05:09

Urethral Stricture Induction Followed by Buccal Mucosa Graft Urethroplasty in a Rat Model

Published on: April 28, 2023

Area of Science:

  • Urology
  • Surgical Innovation
  • Reconstructive Surgery

Background:

  • Nontraumatic bulbar urethral strictures present a significant clinical challenge.
  • Surgical management options, specifically transecting versus nontransecting techniques, remain a subject of ongoing debate.

Purpose of the Study:

  • To compare the efficacy of transecting and nontransecting surgical techniques for bulbar urethral strictures.
  • To evaluate outcomes of different urethroplasty approaches in patients with bulbar urethral strictures.

Main Methods:

  • Systematic review and meta-analysis of existing studies on bulbar urethroplasty.
  • Comparison of success rates between transecting (e.g., end-to-end anastomosis, augmented anastomotic repair) and nontransecting (e.g., nontransecting anastomotic urethroplasty, oral grafting) techniques.

Main Results:

  • Transecting bulbar urethroplasty in 404 patients demonstrated success rates of 90-98.6%.
  • Nontransecting bulbar urethroplasty in 522 patients yielded comparable success rates, ranging from 81.8% to 100%.

Conclusions:

  • Both surgical approaches offer high success rates for bulbar urethral strictures.
  • Further research with homogenous patient series and subjective outcome evaluation is required to establish a definitive gold standard, particularly for proximal bulbar strictures.