Tratamiento de la estenosis anastomótica tras faloplastia: una revisión actualizada de la literatura

IF 1.2 4区医学 Q3 UROLOGY & NEPHROLOGY

Actas urologicas espanolas Pub Date : 2025-01-01 DOI:10.1016/j.acuro.2024.10.005

W. Verla , N. Lumen , M. Waterloos , J. Adamowicz , F. Campos-Juanatey , A. Cocci , M. Frankiewicz , G. Mantica , C. Rosenbaum , F.X. Madec , E. Redmond , Ł. Białek , F. Chierigo , M. Oszczudłowski , 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

Neo-urethral stricture formation frequently occurs after phalloplasty and most commonly affects the anastomosis between the fixed and phallic part of the neo-urethra. This narrative review gives an overview of the existing literature on how to treat these particular strictures.

Methods

This narrative review is based on a literature search conducted in June 2024. No restrictions in terms of publication date, language or sample size were applied.

Results

Treatment options include direct vision internal urethrotomy, anastomotic repair urethroplasty, augmentation urethroplasty with grafts or flaps, multi-stage urethroplasty and urethrostomy. Overall, outcomes of these treatments are worse in transmen than in cismen, mainly due to the specific challenges posed by the neophallus environment. Generally, limited data are available on the treatment options for patients with anastomotic strictures after phalloplasty and, consequently, no clear recommendations can be made.

Conclusion

This narrative review provides a comprehensive and up-to-date overview of the available literature, which may guide future research and help optimize the outcomes for patients with this complex problem after phalloplasty.

Abstract Image

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口腔镜成形术后口腔镜狭窄的治疗：最新文献综述

新尿道狭窄常发生于阴茎成形术后，最常影响新尿道固定部与阴茎部的吻合。这篇叙事性的评论概述了现有的关于如何治疗这些特殊的狭窄的文献。方法本综述基于于2024年6月进行的文献检索。在出版日期、语言或样本量方面没有限制。结果治疗方案包括直接目视内尿道切开术、吻合口修复尿道成形术、移植或皮瓣增强尿道成形术、多期尿道成形术和尿道造口术。总的来说，这些治疗的结果在男性中比在男性中更差，主要是由于新生儿环境带来的特殊挑战。一般来说，关于阴茎成形术后吻合口狭窄患者的治疗选择的资料有限，因此无法提出明确的建议。结论本综述对现有文献进行了全面和最新的综述，可以指导未来的研究，并有助于优化阴茎成形术后这一复杂问题患者的预后。

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.