Algorithm for the management of anterior urethral strictures
Sanjay Balwant Kulkarni1, Omkar Vinay Joglekar1, Mohammad Alkandari1
1Kulkarni Reconstructive Urology Centre, Pune, India.
Turkish Journal of Urology
|May 8, 2018
Summary
This study presents a simplified algorithm for managing anterior urethral strictures, including penile, bulbar, and panurethral types. The approach is based on extensive global experience in urethroplasty over 30 years.
Area of Science:
- Urology
- Surgical Techniques
Background:
- Anterior urethral strictures encompass penile, bulbar, and panurethral conditions.
- Current literature offers various management techniques, from single-stage to two-stage approaches.
- Specific guidelines for dorsal versus ventral approaches in bulbar urethroplasty are lacking.
Purpose of the Study:
- To introduce a simplified algorithm for the management of anterior urethral strictures.
- To provide evidence-based guidance derived from extensive clinical experience.
Main Methods:
- Development of a management algorithm for anterior urethral strictures.
- Synthesis of three decades of global experience in urethroplasty and related surgeries.
Main Results:
- A simplified, experience-based algorithm for anterior urethral stricture management is proposed.
- The algorithm aims to standardize treatment decisions, addressing different stricture types.
Conclusions:
- The proposed algorithm offers a streamlined approach to anterior urethral stricture management.
- This strategy integrates extensive surgical experience to guide clinical practice.
Related Concept Videos
Esophageal Strictures-II: Clinical Features and Management
694
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
694
Esophageal Strictures-I: Introduction
908
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
908
Trial and Error and Algorithm
429
A problem-solving strategy is a plan of action used to find a solution. Different strategies have distinct action plans. Trial and error involves trying different solutions until one works. For instance, to fix a broken printer, you might check ink levels, ensure the paper tray isn't jammed, and verify the printer's connection to your laptop. This method can be time-consuming but is commonly used. Thomas Edison, for example, used trial and error to find a suitable filament for the light...
429
Muscles of the Anterior Neck
4.9K
The anterior neck muscles are the group of muscles covering the front part of the neck. These muscles are classified into three subgroups. The first one is the superficial muscles, the most visible muscles in the front of the neck. It includes the platysma and sternocleidomastoid. The second group is the suprahyoid muscles, located above the hyoid bone. This group comprises the digastric, mylohyoid, geniohyoid, and stylohyoid. Lastly, the infrahyoid muscles are found below the hyoid bone and...
4.9K
Tonsillitis II: Management
445
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
445
Mechanistic Models: Compartment Models in Algorithms for Numerical Problem Solving
321
Mechanistic models play a crucial role in algorithms for numerical problem-solving, particularly in nonlinear mixed effects modeling (NMEM). These models aim to minimize specific objective functions by evaluating various parameter estimates, leading to the development of systematic algorithms. In some cases, linearization techniques approximate the model using linear equations.
In individual population analyses, different algorithms are employed, such as Cauchy's method, which uses a...
In individual population analyses, different algorithms are employed, such as Cauchy's method, which uses a...
321


