1/11. urethral stricture associated with malacoplakia: a case report and review of the literature.A 68-year-old man presented with obstructive and irritative lower urinary tract symptoms and microscopic hematuria. Cystourethroscopy showed a circumferential stricture in the bulbar urethra that bled easily on contact. biopsy revealed malacoplakia. There was also focal nonspecific cystitis. The patient improved symptomatically, but the microscopic hematuria persisted. Follow-up biopsies showed persistent urethral malacoplakia and stricture. malacoplakia of the male urethra is exceptionally rare, this being the second reported case.- - - - - - - - - - ranking = 1keywords = stricture (Clic here for more details about this article) |
2/11. New modality for treatment of resistant anastomotic strictures after radical prostatectomy: UroLume urethral stent.A new approach for the treatment of vesicourethral anastomotic stricture after radical retropubic prostatectomy is presented. The patient had failed treatment with bougies, balloon dilation, and cold-knife incision of the anastomotic area. Transurethral resection of the bladder neck resulted in a rapid recurrence of the stricture. He was successfully treated with insertion of a UroLume urethral stent. After 18 months of follow-up, the patient is symptom free.- - - - - - - - - - ranking = 1keywords = stricture (Clic here for more details about this article) |
3/11. Endourologic reconstruction of post-traumatic obliterated urethral stricture in a young female: a point of technique.INTRODUCTION: A simple endourologic technique for reconstruction of a post-traumatic obliterated urethra in a young unmarried woman is described as an alternative management to complex open urethral reconstruction. TECHNICAL CONSIDERATIONS: A 20-year-old woman presented with a post-traumatic obliterated urethra after a road traffic accident. The cystogram at 6 weeks did not reveal a bladder neck or urethra. The examination under anesthesia showed just a dimple at the presumed external urethral meatus. Antegrade cystoscopy revealed a complete block just distal to the bladder neck. A puncture was made from the external urethral meatus into the bladder through the bladder neck under antegrade cystoscopic guidance. The tract was dilated up to 18F using fascial dilators over a guidewire. A 16F Foley catheter was placed for 6 weeks. The operative time was 30 minutes, with no intraoperative complications. The catheter was removed at 6 weeks. Urethroscopy showed a normal urethra. She performed self-catheterization for the initial 3 months. A micturating cystourethrogram at 3 months revealed a normal urethra. She was continent and stricture free at follow-up of 16 months. CONCLUSION: This technique is simple and easy, with good results in selected cases of post-traumatic complete obliteration of the urethra with an intact bladder neck in young women.- - - - - - - - - - ranking = 234.97918948405keywords = urethral stricture, stricture (Clic here for more details about this article) |
4/11. Urethral stone presenting as a stop valve--a rare complication of balanitis xerotica obliterans.Balanitis xerotic obliterans (BXO) is the genital subcategory of lichen sclerosis et atrophicus. The association of BXO with urethral stone causing interruption of the urinary stream and voiding by manual displacement of the urethral stone has not been described before. We describe one such case of a young boy with BXO and urethral stone who voided by manually displacing the stone for over a year. The case is reported to emphasize the ingenuity of the patient in continuing to void for over a year despite the association of the impacted urethral stone with urethral stricture and BXO.- - - - - - - - - - ranking = 58.703130704346keywords = urethral stricture, stricture (Clic here for more details about this article) |
5/11. Treatment of a complete lower urinary tract obstruction secondary to an expandable foam sealant.We present a unique case of an iatrogenic complete lower urinary tract obstruction with an expandable foam sealant. A 41-year-old man presented in urinary retention 36 hours after self-injecting his urethra with the foam sealant, which could be palpated throughout his entire urethra. The sealant was removed from the distal urethra in numerous fragments with a hemostat and cystoscopically. A perfect mold of the bladder and prostatic urethra were removed by suprapubic cystotomy. cystoscopy 2 months later demonstrated a mild bulbar urethral stricture, but normal bladder mucosa. The cystoscopy at 6 months was normal.- - - - - - - - - - ranking = 58.703130704346keywords = urethral stricture, stricture (Clic here for more details about this article) |
6/11. Significant obliteration of the urethral lumen after Wallstent implantation.The permanently implanted self-expandable urethral stent (Wallstent) has found increased use in patients with recurrent urethral strictures because of its simple implantation technique. To date there have been no reports of serious complications. At 6 weeks after stent implantation our patient had complete luminal obstruction. This complication demonstrates the need for short-term controls after implantation of a urethral stent.- - - - - - - - - - ranking = 58.703130704346keywords = urethral stricture, stricture (Clic here for more details about this article) |
7/11. Giant urethral diverticulum: unusual complication following ventral buccal mucosa onlay graft urethroplasty.During the past 10 years, buccal mucosa grafting for urethroplasty has gained widespread acceptance. In general the reported success rates are 80% and higher. Typical complications are recurrent strictures, fistula, and, especially when the technique of ventral onlay urethroplasty has been used, sacculations that are of little clinical significance in most cases. The development of large diverticula has not been described yet. We report on the case of a 63-year-old man who developed a giant diverticulum of the urethra 1 year after a ventral buccal mucosa onlay graft urethroplasty for recurrent bulbar urethral strictures had been worked out.- - - - - - - - - - ranking = 58.869797371013keywords = urethral stricture, stricture (Clic here for more details about this article) |
8/11. Intestinal metaplasia and dysplasia of prostatic urethra secondary to stricture.We report a case of intestinal metaplasia and dysplasia (villous adenoma) of the prostatic urethra secondary to stricture of the prostatic portion of the urethra and chronic inflammation. This sequence of events has previously been recognized in the urothelium of the bladder as a precursor of adenocarcinoma of intestinal type. Premalignant dysplasia of glandular type is rare in the urethra, as is adenocarcinoma, and this case suggests that the pathway to some adenocarcinomas of the urethra may be through intestinal metaplasia and dysplasia similar to the process recognized in the stomach, nose, and urinary bladder.- - - - - - - - - - ranking = 0.83333333333333keywords = stricture (Clic here for more details about this article) |
9/11. Acquired obstructions of the lower urinary tract in children.Acquired obstructions of the lower urinary tract in children are uncommon. They can be divided into intrinsic and extrinsic lesions, and have a very varied etiology. Several illustrative cases are reported, such as traumatic and infectious strictures, meatal stenosis, benign and malignant tumors, fused labia, and epidermolysis bullosa. Many of these lesions have distinct radiographical features, best demonstrated by micturating cystourethrograms.- - - - - - - - - - ranking = 0.16666666666667keywords = stricture (Clic here for more details about this article) |
10/11. Use of multiple Wallstents in treatment of bladder outlet obstruction.Of 23 patients being treated with the Urolume Wallstent for bladder outlet obstruction, 4--3 with anterior urethral strictures and 1 with benign prostatic hyperplasia--required two to four stents. When placing multiple stents, there should be enough overlap to prevent the opening of a gap as the stents expand and shorten over the ensuing weeks. Use of more than 1 stent is indicated when the stricture or the prostatic urethra is longer than 3 cm or when stricture recurs beyond the end of a previously placed stent.- - - - - - - - - - ranking = 59.03646403768keywords = urethral stricture, stricture (Clic here for more details about this article) |
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