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Related Concept Videos

Ostomy Care01:24

Ostomy Care

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Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
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Urinary Bladder01:23

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The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
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Urethra01:16

Urethra

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The urethra is a hollowed tubular organ through which urine is expelled from the body. This structure extends from the bladder to the external opening, allowing urine to be released.
The anatomy of the urethra differs between males and females. In females, the urethra is short, measuring about 3–4 cm in length, and opens anterior to the vaginal opening. In males, the urethra is longer and passes through the penis, serving dual purposes: expelling urine and ejaculating semen. The male...
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Vessel-sparing Excision and Primary Anastomosis
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7-flap perineal urethrostomy.

Daniel C Parker1, Allen F Morey1, Jay Simhan1

  • 11 Fox Chase/Einstein Urologic Institute, Moss/3 Sley, Philadelphia, PA 19141, USA ; 2 UT Southwestern Department of Urology, Moss Bldg, 8th Fl, Ste 112, Dallas, TX 75390-9110, USA.

Translational Andrology and Urology
|January 28, 2016
PubMed
Summary
This summary is machine-generated.

Perineal urethrostomy (PU) effectively treats urethral strictures, including complex cases. A novel 7-flap technique offers surgical flexibility with a 95% success rate, improving patient quality of life.

Keywords:
Perineal urethrostomy (PU)hypospadiasskin flapurethral stricture

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Area of Science:

  • Urology
  • Surgical Techniques
  • Reconstructive Surgery

Background:

  • Perineal urethrostomy (PU) has a long history of success in managing urethral stricture disease.
  • Urethral strictures can result from various causes including trauma, infection, complex hypospadias repair, and failed prior urethroplasty.

Purpose of the Study:

  • To review the indications and outcomes of perineal urethrostomy (PU).
  • To describe the novel 7-flap PU technique as an alternative to conventional approaches.
  • To evaluate the efficacy of 7-flap PU in a diverse patient cohort.

Main Methods:

  • Review of clinical data and surgical outcomes for patients undergoing PU.
  • Description and application of the 7-flap PU technique.
  • Analysis of success rates across various etiologies of urethral stricture disease.

Main Results:

  • Perineal urethrostomy (PU) is indicated for refractory and advanced urethral stricture disease.
  • The 7-flap PU technique provides enhanced surgical flexibility.
  • The 7-flap PU technique achieved a 95% success rate in the authors' updated experience.

Conclusions:

  • Both conventional and 7-flap PU are valuable surgical options for urethral stricture disease.
  • The 7-flap PU technique demonstrates comparable success rates to conventional methods.
  • Perineal urethrostomy significantly improves the quality of life for patients with debilitating urethral strictures.