Hellow guys, Welcome to my website, and you are watching AUA2020 V06-01: Single-Stage Reconstruction of Fossa Navicularis Strictures Using A Sliding-T. and this vIdeo is uploaded by AUAUniversity at 2020-04-14T21:00:04-07:00. We are pramote this video only for entertainment and educational perpose only. So, I hop you like our website.
| Name | AUA2020 V06-01: Single-Stage Reconstruction of Fossa Navicularis Strictures Using A Sliding-T |
| Video Uploader | Video From AUAUniversity |
| Upload Date | This Video Uploaded At 15-04-2020 04:00:04 |
| Video Discription | AUA2020 V06-01: Single-Stage Reconstruction of Fossa Navicularis Strictures Using A "Sliding-T" Dorsal Inlay Urethroplasty For more 2020 Surgical Videos, visit: https://auau.auanet.org/node/28146 Jordana Fersovich*, Alvaro Saavedra, Keith Rourke, Edmonton, Canada INTRODUCTION Strictures of the fossa navicularis are challenging to treat. Endoscopic treatments typically offer only temporary relief and require lifelong instrumentation. Reconstruction requires establishment of a functional and unobstructed urethra while creating a cosmetically appealing glans and preserving sexual function. The ideal urethroplasty technique has not yet been elucidated; various reconstructive techniques exist including both single-stage and multi-staged approaches. We describe a single-stage urethroplasty for fossa navicularis strictures using a ?sliding-T? dorsal inlay technique with buccal mucosa. METHODS A retrospective review of a prospectively maintained urethral reconstruction database was performed to identify patients undergoing a single-stage urethroplasty for fossa navicularis strictures with our approach. The primary outcome was urethroplasty success defined as the ability to easily pass a 16Fr flexible cystoscope with a minimum of 12-months follow-up. Secondary outcome measures included 90-day complications, de novo erectile dysfunction and chordee assessed at 6 months postoperatively. RESULTS From January 2013 to May 2018, 27 patients underwent reconstruction of fossa navicularis strictures using buccal mucosa with a ?sliding-T? dorsal inlay urethroplasty technique. Stricture etiology was most commonly lichen sclerosus (70.4%; n=19), iatrogenic (18.5%; n=5) or idiopathic (11.1%; n=3). Mean stricture length was 3.2cm±1.2 (1-4) and mean patient age was 47.3 years (19-71). 92.6% (n=25) of patients had failed prior endoscopic treatment while 7.4% (n=2) failed prior urethroplasty. At a mean follow-up of 29.6 (12-60) months there was a success rate of 92.4% (n=25). Both recurrences were managed successfully with meatotomy. 90-day complications (Clavien =2) occurred in 2 patients (7.4%) (surgical site infection treated with antibiotics). Functionally, 1 patient (3.7%) experienced de novo erectile dysfunction, 1 (3.7%) reported mild chordee and 96.3% of patients reported being satisfied with the outcome of surgery. CONCLUSIONS Reconstruction of fossa navicularis strictures using buccal mucosa with a single-stage ?sliding-T? dorsal inlay technique provides satisfying anatomic and functional outcomes with a low rate of associated complications. SOURCE OF FUNDING: None |
| Category | Education |
| Tags | AUA | american urological association | AUAU | AUA2020 | surgical video library | urology | urologist | robotic surgery | surgical video | ossa Navicularis Strictures | Urethroplasty | Sliding-T | Dorsal | Inlay |
