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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

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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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Imaging Studies V: Intravenous Urography and Retrograde Pyelography01:22

Imaging Studies V: Intravenous Urography and Retrograde Pyelography

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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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Urinary Tract Calculi III: Medical Management01:30

Urinary Tract Calculi III: Medical Management

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The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
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Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

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Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
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Urodynamic Studies: Uroflowmetry01:19

Urodynamic Studies: Uroflowmetry

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Uroflowmetry is a non-invasive urodynamic test designed to measure various aspects of urination, including volume, flow rate, and the time to void. This test is crucial for diagnosing and assessing conditions such as bladder outlet obstruction, bladder dysfunction, incomplete bladder emptying, incontinence, and urinary tract blockages caused by benign prostatic hyperplasia (BPH) and urethral strictures.Pre-Test Instructions:Before a uroflowmetry test, patients are typically advised to drink...
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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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Updated: Aug 15, 2025

Vessel-sparing Excision and Primary Anastomosis
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Advances in urethroplasty.

Sanjay Kulkarni1, Pankaj M Joshi2, Shreyas Bhadranavar2

  • 1Director, Kulkarni UroSurgery Institute, Pune, India.

Medical Journal, Armed Forces India
|January 6, 2023
PubMed
Summary
This summary is machine-generated.

Urethral stricture management has evolved from dilation to reconstruction, with buccal grafts and dorsal onlay techniques significantly improving urethroplasty outcomes. Recent advances focus on non-transecting surgical approaches for better results.

Keywords:
Bulbar urethroplastyNon transecting urethroplastyPanurethral strictureStrictureUrethra

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Area of Science:

  • Urology
  • Surgical Innovation

Background:

  • Urethral stricture management has advanced significantly over the past 30 years.
  • Historically, dilatation was the primary treatment, but surgical reconstruction now dominates.
  • The introduction of buccal grafts revolutionized urethroplasty outcomes.

Purpose of the Study:

  • To describe the key advances in urethral reconstruction over the last decade.
  • To highlight the shift from traditional dilatation to modern reconstructive techniques.
  • To review innovative surgical approaches for urethral strictures.

Main Methods:

  • Review of recent literature and surgical techniques in urethral reconstruction.
  • Focus on advancements in graft materials and surgical approaches.
  • Comparison of historical and contemporary management strategies.

Main Results:

  • The reinvention of buccal grafts has dramatically improved urethroplasty success rates.
  • The Barbagli dorsal onlay technique has gained global popularity for stricture management.
  • Single-stage surgical options, like the Kulkarni technique for panurethral strictures, have been developed.
  • A shift towards non-transecting surgical methods has occurred.

Conclusions:

  • Urethral reconstruction, particularly using buccal grafts and advanced techniques, offers superior outcomes compared to older methods.
  • Modern surgical approaches, including non-transecting methods, represent significant progress in treating urethral strictures.
  • Continued innovation is enhancing the management and treatment of urethral strictures worldwide.