| Management of the stricture of fossa navicularis and pendulous urethral strictures. | |
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MedLine Citation:
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PMID: 22022062 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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OBJECTIVE: Management of distal anterior urethral stricture is a common problem faced by practicing urologists. Literature on urethral stricture mainly pertains to bulbar urethral stricture and pelvic fracture urethral distraction defect. The present article aims to review the management of the strictures of fossa navicularis and pendulous urethra. MATERIALS AND METHODS: The literature in English language was searched from the National Library of Medicine database, using the appropriate key words for the period 1985-2010. Out of 475 articles, 115 were selected for the review based on their relevance to the topic. RESULTS: Etiology of stricture is shifting from infective to inflammatory and iatrogenic causes. Stricture of fossa navicularis is most often caused by lichen sclerosus et atrophicus and instrumentation. Direct visual internal urethrotomy is limited to selected cases in the management of pendulous urethral stricture. With experience and identification of various prognostic factors, conservative management by dilatation and internal urethrotomy is being replaced by various reconstructive procedures, using skin flaps and grafts with high success rates. Single-stage urethroplasty is preferred over the 2-stage procedure as the latter disfigures the penis and poses sexual problems temporarily. CONCLUSIONS: Flaps or grafts are useful for single-stage reconstruction of fossa navicularis and pendulous urethral strictures. The buccal and lingual mucosa serves as a preferred resource material for providing the inner lining of the urethra. Off-the-shelf materials, such as acellular collagen matrix, are promising. |
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Authors:
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Shrawan K Singh; Santosh K Agrawal; Ravimohan S Mavuduru |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Indian journal of urology : IJU : journal of the Urological Society of India Volume: 27 ISSN: 1998-3824 ISO Abbreviation: Indian J Urol Publication Date: 2011 Jul |
Date Detail:
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Created Date: 2011-10-24 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8510441 Medline TA: Indian J Urol Country: India |
Other Details:
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Languages: eng Pagination: 371-7 Citation Subset: - |
Affiliation:
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Department of Urology, Postgraduate Institute of Medical Education and Research, Chandigarh, India. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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