Entero-Urethroplasty for Bulbar Urethral Necrosis
Muhamed Tajudeen, Sandeep Kumar, Partho Mukherjee, Santosh Kumar
TL;DR
A new surgical technique using the ascending colon was used to treat a complex urethral injury caused by tissue death after a previous surgery.
Contribution
The paper presents a novel approach using ascending colon substitution for ischemic bulbar urethral necrosis.
Findings
Ischemic necrosis of the bulbar urethra can lead to complex strictures after perineal urethroplasty.
Ascending colon substitution urethroplasty offers an alternative to traditional vascular reconstruction and grafting methods.
Abstract
Ischemic necrosis of the bulbar urethra after perineal urethroplasty can lead to complex, long-segment strictures. Traditional approaches often involve vascular reconstruction followed by transpubic urethroplasty. A 20-year-old man presented with a posterior urethral injury resulting in urethral distraction following a road traffic accident. He underwent anastomotic urethroplasty 10 months later, which then failed. We employed ascending colon substitution urethroplasty to manage a case of ischemic bulbar necrosis, offering an alternative to tubed flap or staged grafting procedures.
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Taxonomy
TopicsUrological Disorders and Treatments · Urologic and reproductive health conditions · Urinary and Genital Oncology Studies