Urethroplasty has always been a challenge in genitourinary surgery;urethral reconstruction(primary or redo)is one of the most critical functional requests.In recent decades,many urethroplasty techniques and their modi...Urethroplasty has always been a challenge in genitourinary surgery;urethral reconstruction(primary or redo)is one of the most critical functional requests.In recent decades,many urethroplasty techniques and their modifications have been published.Primary repair is indicated for congenital abnormalities of the urethra,such as hypospadias or epispadias,the most frequent anomalies with urethral defects.One of the essential aspects of urethroplasty is urethral stricture disease,and there is much discussion about the etiology,location,length,and management.Despite recent improvements,the management of urethral stricture disease remains a challenging problem.Successful management is based on detailed knowledge of the anatomy,pathophysiology,and proper procedure selection tailored for each case.展开更多
Transgender men undergoing phalloplasty and metoidioplasty have a high rate of urethral stricture.Evaluation of stricture includes evaluation of symptoms and uroflow,cystoscopy,and retrograde urethrogram.Important ana...Transgender men undergoing phalloplasty and metoidioplasty have a high rate of urethral stricture.Evaluation of stricture includes evaluation of symptoms and uroflow,cystoscopy,and retrograde urethrogram.Important anatomic differences between the phallus of cis-gender and transgender men increase the likelihood and complexity of treating urethral strictures in transgender men after surgery.Urethral strictures after masculinizing procedures are more likely to require open surgical treatment and recur after treatment.There is a paucity of data,but less invasive options such as dilation and urethrotomy have had minimal success.Open surgical options with a variety of techniques,including one-stage and two-stage techniques,have higher success rates in treating strictures,but there is minimal comparative data on outcomes.We present a review on management options for urethral reconstruction in transgender men and our data on urethroplasty for these patients.展开更多
文摘Urethroplasty has always been a challenge in genitourinary surgery;urethral reconstruction(primary or redo)is one of the most critical functional requests.In recent decades,many urethroplasty techniques and their modifications have been published.Primary repair is indicated for congenital abnormalities of the urethra,such as hypospadias or epispadias,the most frequent anomalies with urethral defects.One of the essential aspects of urethroplasty is urethral stricture disease,and there is much discussion about the etiology,location,length,and management.Despite recent improvements,the management of urethral stricture disease remains a challenging problem.Successful management is based on detailed knowledge of the anatomy,pathophysiology,and proper procedure selection tailored for each case.
文摘Transgender men undergoing phalloplasty and metoidioplasty have a high rate of urethral stricture.Evaluation of stricture includes evaluation of symptoms and uroflow,cystoscopy,and retrograde urethrogram.Important anatomic differences between the phallus of cis-gender and transgender men increase the likelihood and complexity of treating urethral strictures in transgender men after surgery.Urethral strictures after masculinizing procedures are more likely to require open surgical treatment and recur after treatment.There is a paucity of data,but less invasive options such as dilation and urethrotomy have had minimal success.Open surgical options with a variety of techniques,including one-stage and two-stage techniques,have higher success rates in treating strictures,but there is minimal comparative data on outcomes.We present a review on management options for urethral reconstruction in transgender men and our data on urethroplasty for these patients.
