Current approaches to male anterior urethral reconstruction: what we do and why?

IF 0.6 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Jessica D. Lubahn MD , Steven J. Hudak MD , Allen F. Morey MD
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引用次数: 1

Abstract

The management of male anterior urethral strictures is complex and continues to evolve. Due to high success rates and low morbidity, open reconstruction has become the preferred primary treatment modality over repeated minimally invasive options. Urethroplasty describes this diverse group of open reconstructive techniques applied to a heterogenous disease process. As controlled trials are scarce, a comparison of different techniques across varied circumstances is difficult. Furthermore, long-term success is also dependent upon patient comorbidities. Ultimately, accurate determination of the stricture length, location, and etiology is imperative for procedure selection. Therefore, we describe our approach and rationale behind the evaluation and treatment planning of patients with anterior urethral strictures, addressing current controversies and proposing future directions of research.

目前男性前尿道重建的方法:我们做什么,为什么?
男性前尿道狭窄的处理是复杂的,并不断发展。由于高成功率和低发病率,开放重建已成为首选的主要治疗方式,而不是重复的微创选择。尿道成形术描述了应用于异质疾病过程的开放式重建技术的多样性。由于缺乏对照试验,很难对不同情况下的不同技术进行比较。此外,长期成功还取决于患者的合并症。最终,准确确定狭窄的长度、位置和病因是选择手术的必要条件。因此,我们描述了我们对前尿道狭窄患者的评估和治疗计划的方法和基本原理,解决了目前的争议并提出了未来的研究方向。
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来源期刊
Journal of Mens Health
Journal of Mens Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
0.90
自引率
28.60%
发文量
153
审稿时长
>12 weeks
期刊介绍: JOMH is an international, peer-reviewed, open access journal. JOMH publishes cutting-edge advances in a wide range of diseases and conditions, including diagnostic procedures, therapeutic management strategies, and innovative clinical research in gender-based biology. It also addresses sexual disparities in health, life expectancy, lifestyle and behaviors and so on. Scientists are encouraged to publish their experimental, theoretical, and descriptive studies and observations in as much detail as possible.
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