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Urologic Endoscopic Procedure: Cystoscopic Examination01:28

Urologic Endoscopic Procedure: Cystoscopic Examination

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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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Voiding Cystourethrography (VCUG) and Cystography are specialized radiographic procedures used to examine the structure and function of the bladder and urethra.Voiding Cystourethrography (VCUG)A Voiding Cystourethrogram (VCUG) is a diagnostic imaging procedure that assesses the anatomy and function of the lower urinary tract. It focuses on the bladder, bladder neck, and urethra, helping detect abnormalities such as vesicoureteral reflux (VUR)—the backward or reverse flow of urine into the...
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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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Updated: May 18, 2026

Vessel-sparing Excision and Primary Anastomosis
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Published on: January 7, 2019

Urethral 'cripples': two-staged procedures.

Silke Riechardt1, Roland Dahlem, Margit Fisch

  • 1Department of Urology and Pediatric Urology, University Hamburg-Eppendorf, Hamburg, Germany. s.riechardt@uke.de

Current Opinion in Urology
|October 3, 2012
PubMed
Summary
This summary is machine-generated.

Staged surgical procedures for urethral reconstruction in "urethral cripples" show promising short-term outcomes. However, more long-term data are needed to assess patient satisfaction and quality of life.

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Area of Science:

  • Urology
  • Reconstructive Surgery

Background:

  • Patients with previous urethral interventions, termed 'urethral cripples', often require complex surgical management.
  • Staged procedures are a potential approach for these challenging cases.

Purpose of the Study:

  • To review the current literature on the efficacy and outcomes of staged surgical procedures in patients with a history of urethral interventions.

Main Methods:

  • A literature search was conducted for studies published within the last 18 months.
  • Studies focused on outcomes of redo surgery for hypospadias and urethral stricture disease were included.

Main Results:

  • Five studies were identified, mostly with short-term follow-up and limited patient numbers.
  • The available data suggest acceptable complication and success rates for surgical outcomes.

Conclusions:

  • Current evidence indicates that staged procedures may offer viable surgical outcomes for 'urethral cripples'.
  • Long-term prospective data are lacking, particularly concerning sexual function, patient satisfaction, and quality of life.