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Related Experiment Video

Updated: Oct 5, 2025

Urethroplasty with Pedicled Tunica Vaginalis for the Treatment of Long-segment Anterior Urethral Stricture Caused by Lichen Sclerosus of Glans Penis
03:55

Urethroplasty with Pedicled Tunica Vaginalis for the Treatment of Long-segment Anterior Urethral Stricture Caused by Lichen Sclerosus of Glans Penis

Published on: October 18, 2024

314

Simplified posterior urethroplasty utilizing laparoscopic instrumentation.

Felicia L Balzano1, David J Abramowitz1, Andre-Philippe Sam2

  • 1City of Hope National Medical Center, Duarte, CA, USA.

Translational Andrology and Urology
|January 24, 2022
PubMed
Summary

This study shows that combining the RD-180® suture device and Securestrap® simplifies posterior urethral reconstruction. This laparoscopic approach achieved a 95% success rate in treating urethral strictures.

Keywords:
Posterior urethral stricturereconstructive urologyurethroplasty

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Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Surgical Instrumentation

Background:

  • Posterior urethral stricture repair is challenging due to complex anatomy and difficult access.
  • Traditional surgical techniques for posterior urethral strictures require significant expertise.
  • A novel laparoscopic approach is presented to simplify these complex reconstructions.

Purpose of the Study:

  • To describe and evaluate a novel laparoscopic technique for posterior urethral reconstruction.
  • To assess the efficacy and safety of using the RD-180® suture device and Securestrap® in combination.
  • To determine the success rate of this combined laparoscopic approach for urethral stricture repair.

Main Methods:

  • Retrospective analysis of patients undergoing posterior urethral stricture repair.
  • Utilized a combination of the RD-180® suture device and Securestrap® via laparoscopy.
  • Included patients with at least 4 months of follow-up, performed by a single surgeon.

Main Results:

  • Twenty patients underwent repair between October 2016 and October 2020.
  • The median follow-up was 12 months, with a mean stricture length of 3 cm.
  • Achieved a 95% success rate (19/20 patients), with no reported neuropathies or positional injuries.

Conclusions:

  • The combination of RD-180® and Securestrap® is a valuable tool for posterior urethral stricture repair.
  • This laparoscopic approach offers a simplified and effective method for reconstruction.
  • Further studies with longer follow-up are needed to confirm these outcomes.