Upper transverse scrotal approach for urethral stricture: A novel approach

Bhirud, Parag S and Chawla, Arun and Thomas, Joseph (2010) Upper transverse scrotal approach for urethral stricture: A novel approach. Indian Journal of Urology, 26 (4). pp. 605-606.

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The authors prospectively evaluated this new surgical approach for urethral strictures. Thirteen patients were operated by a new technique using an upper transverse scrotal incision. Patients with proximal bulbar strictures were excluded. Out of 13 patients, 8 underwent end-to-end anastomosis and 5 patients underwent free foreskin dorsal onlay graft. Among 13 patients, 3 had the history of previous transurethral procedures and 10 patients had unknown etiology. The new approach included a transverse incision of about 3-4 cm at the penoscrotal junction in supine position with legs abducted. Dartos and Buck's fasciae were opened to approach the corpus spongiosum. Dissection of scrotal septum for exposure of proximal urethra or extension of incision in an inverted T fashion along the ventral midline of penis for the exposure of distal penile urethra was optional. Postoperatively, catheter was removed after 20 days and MCU was obtained. There was no penile deformity or troublesome postvoid dribbling. No patient had newly developed erectile dysfunction after surgery. However, 7.7% patients had decreased force of ejaculation. Patients were followed up with uroflowmetry and PVR at 6 weeks, 6 months, and 12 months following surgery. Additionally, sexual function and postvoid dribbling were assessed by a nonstandardized questionnaire. The authors concluded that upper transverse scrotal approach may improve functional outcomes in terms of sexual dysfunction and incontinence rates

Item Type: Article
Subjects: Medicine > KMC Manipal > Urology
Depositing User: KMC Manipal
Date Deposited: 07 Feb 2013 05:02
Last Modified: 07 Feb 2013 05:02
URI: http://eprints.manipal.edu/id/eprint/78221

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