1/10. 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) |
2/10. Long term complications of the intraprostatic spiral. Case report.A 76-year-old man had an intraprostatic spiral inserted to relieve bladder outlet obstruction that was caused by benign prostatic hypertrophy. After 30 months numerous complications had arisen including severe encrustations, urethral stricture, and sclerosis of the bladder neck. Regular replacement of the spiral or close monitoring of the development of encrustations seem necessary. The distal tip and the plating of the spiral require improvement.- - - - - - - - - - ranking = 0.16666666666667keywords = stricture (Clic here for more details about this article) |
3/10. Laparoscopic bladder diverticulectomy for large bladder diveticulum: a case report.Bladder diverticula are herniations of the bladder mucosa through the bladder wall musculature. Acquired bladder diverticula are the result of outlet obstruction, mostly benign prostate enlargement, infections, or urethral stricture. Traditionally, bladder diverticulum was excised by the open method. However, the laparoscopic technique has been widely used to treat many urologic diseases, including bladder diverticulum. Laparoscopic diverticulectomy can be performed transperitoneally or extraperitoneally. We report our initial experience with laparoscopic transperitoneal diverticulectomy for a large bladder diverticulum caused by bladder outlet obstruction. The patient had satisfactory micturition and was discharged on the eighth postoperative day.- - - - - - - - - - ranking = 0.16666666666667keywords = stricture (Clic here for more details about this article) |
4/10. Successful treatment of recurrent vesicourethral stricture after radical prostatectomy with holmium laser: report of three cases.We report three cases with severe anastomotic strictures, which recurred several times after radical prostatectomy despite repeated treatments of urethral dilation, internal urethrotomy and/or transurethral resection. All three cases were finally treated with holmium laser successfully without any intraoperative or postoperative complications after repeated failures of each treatment. There were two specific characteristics in these three cases: the early onset of the stricture and the pinhole opening located on the top (12-o'clock) of the stricture wall.- - - - - - - - - - ranking = 1.1666666666667keywords = stricture (Clic here for more details about this article) |
5/10. Corticosteroids in treatment of obstructive lesions of chronic granulomatous disease.Two patients with chronic granulomatous disease had obstructive lesions of the gastrointestinal tract, esophagus, and genitourinary tract, which were successfully treated with corticosteroids. These obstructive lesions, caused by local granuloma formation, have been reported in 18 other patients with chronic granulomatous disease, none of whom received steroids. Our first patient, a 3-year-old boy, had emesis and weight loss associated with antral narrowing and delayed gastric emptying at age 2 years. Antibiotic therapy was ineffective, but intravenous and oral corticosteroid therapy for 10 weeks resulted in clinical cure. One year later, dysuria associated with bladder neck obstruction was also treated successfully with corticosteroids. The second child, a 10-year-old boy, had dysphagia caused by distal esophageal stenosis. Corticosteroid therapy (with concomitant antibiotics) on two occasions reversed this obstruction. Granulomatous cystitis with ureteropelvic obstruction then developed, which also responded to treatment with corticosteroids and antibiotics. Despite the risk of increased susceptibility to infection, corticosteroid therapy is justified in preventing life-threatening obstruction of vital organs.- - - - - - - - - - ranking = 0.0042910138920013keywords = stenosis (Clic here for more details about this article) |
6/10. diverticulum of the urinary bladder.Vesical diverticulum predominates in males and is frequently associated with obstruction at or near the bladder neck. The obstruction may be due to benign prostatic hypertrophy, urethral stricture or, less often, carcinoma. diagnosis is made by intravenous or retrograde cystogram. Urinary stasis leads to recurrent infection and stone formation. While small diverticula may often be left alone, large ones should be surgically removed.- - - - - - - - - - ranking = 0.16666666666667keywords = stricture (Clic here for more details about this article) |
7/10. Transurethral urethrotomy under vision.Transurethral urethrotomy under vision with the Sachse urethrotome is a new surgical procedure for the treatment of urethral strictures. The chief advantage of the urethrotome is the fact that the surgeon can cut strictures selectively and accurately under clear vision. The procedure is less painful than blind internal urethrotomy and less extensive cases can be done in the office with the patient under local anesthesia. We report on 36 cases with at least 6 months of followup. In 20 cases the strictures were distal to the prostate and the results were considered good in 16, improved in 3 and a failure in 1. The other 16 cases involved vesical neck contractures and all patients had good results. The technique for urethral strictures distal to the prostate and for vesical neck contractures is described and postoperative treatment is emphasized and discussed.- - - - - - - - - - ranking = 0.66666666666667keywords = stricture (Clic here for more details about this article) |
8/10. 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 = 0.17095768055867keywords = stricture, stenosis (Clic here for more details about this article) |
9/10. Repair of obliterative vesicourethral stricture after radical prostatectomy: a technique for preservation of continence.We present the open surgical repair of complete obstruction of the bladder neck unresponsive to endoscopic management. By combining abdominal and perineal dissection, partial pubectomy, and omental wrapping, repeat anastomosis is possible without the need for bladder tubularization. Two patients have been repaired successfully. Although both men presented with indwelling suprapubic tubes and a defect of greater than 1.5 cm, they are now voiding normally at 18 and 7 months post-operatively without the need for pads, medication, or instrumentation. Complete obliteration of the bladder neck after radical prostatectomy can be functionally reconstructed. Postoperative continence will depend on the function of the membranous urethra. If incontinence occurs, this can be managed in a reconstructed open urethra.- - - - - - - - - - ranking = 0.66666666666667keywords = stricture (Clic here for more details about this article) |
10/10. Sacral dysgenesis associated with occult spinal dysraphism causing neurogenic bladder dysfunction.A case of a neurogenic bladder in a 20-year-old man is described. The patient had difficulty in voiding and incontinence, with a history of several urinary infections. Misdiagnoses included stricture and posterior urethral valves. Early treatment included urethral dilation, a transurethral resection and a left ureteral implantation. Throughout this time the neurological examinations were essentially normal. Final diagnosis was sacral dysgenesis with associated occult spinal dysraphism, after the discovery of a small pock mark over the sacrum and an abnormal pelvic x-ray. urinary diversion was done.- - - - - - - - - - ranking = 0.16666666666667keywords = stricture (Clic here for more details about this article) |
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