Historia de la cirugía uretral: lecciones aprendidas del pasado

IF 1.2 4区医学 Q3 UROLOGY & NEPHROLOGY

Actas urologicas espanolas Pub Date : 2025-01-01 DOI:10.1016/j.acuro.2024.12.001

F.X. Madec , P. Neuville , F. Chierigo , J. Adamowicz , Ł. Białek , A. Cocci , M. Frankiewicz , G. Mantica , M. Oszczudłowski , E.J. Redmond , C.M. Rosenbaum , W. Verla , M. Waterloos , F. Campos-Juanatey , J. Klemm , M. Vetterlein , en representación del Grupo de Trabajo de Urología Reconstructiva y Trauma Urológico de la Sección de Jóvenes Urólogos Académicos - Asociación Europea de Urología

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引用次数: 0

Abstract

Introduction

Although failures are undesirable, they offer valuable learning opportunities that drive progress through necessary changes. This concept holds particularly true in the history of urethral reconstruction.

Methods

A comprehensive literature review was conducted using PubMed, focusing on the history of the urethral stricture and current trends based on national and international guidelines for urethral stricture management.

Results

Urethral strictures are among the oldest known urological conditions, with initial treatments centred around dilatation. These palliative measures proved disappointing. The advent of reconstructive urology has transformed this pathology into a treatable condition, notably through Excision and Primary Anastomosis (EPA) and one-stage augmentation urethroplasty using buccal grafts.

Conclusion

Urethroplasty is the gold standard treatment for urethral strictures, and ongoing refinements aim to further reduce morbidity.

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泌尿外科的历史：过去的经验教训

虽然失败是不可取的，但它们提供了宝贵的学习机会，通过必要的改变推动进步。这个概念在尿道重建的历史上尤其正确。方法采用PubMed进行文献综述，结合国内外尿道狭窄治疗指南，重点回顾尿道狭窄的历史和发展趋势。结果尿道狭窄是已知的最古老的泌尿系统疾病之一，最初的治疗以扩张为中心。事实证明，这些缓和措施令人失望。重建泌尿外科的出现已经将这种病理转变为一种可治疗的疾病，特别是通过切除和初级吻合（EPA）和一期增强尿道成形术使用颊移植物。结论尿道成形术是尿道狭窄的金标准治疗方法，并不断改进以进一步降低发病率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Actas urologicas espanolas UROLOGY & NEPHROLOGY-

CiteScore

1.90

自引率

0.00%

发文量

审稿时长

46 days

期刊介绍： Actas Urológicas Españolas is an international journal dedicated to urological diseases and renal transplant. It has been the official publication of the Spanish Urology Association since 1974 and of the American Urology Confederation since 2008. Its articles cover all aspects related to urology. Actas Urológicas Españolas, governed by the peer review system (double blinded), is published online in Spanish and English. Consequently, manuscripts may be sent in Spanish or English and bidirectional free cost translation will be provided.