What is Second Stage urethroplasty?
Second-stage urethroplasty using buccal mucosa graft and glue. The patient is intubated through the nose, allowing the mouth to be completely free. The patient is operated by 2 surgical teams work simultaneously, each having its own set of surgical instruments.
What is a Johanson urethroplasty?
Johansen’s urethroplasty Over the years, the surgery has evolved into a fairly complex operation whereby the damaged area of the urethra is opened ventrally and left open as a buried skin strip with a deep diversion created from scrotal or penile skin covering the area of the repair.
How long does it take urethra to heal after catheter?
Minor of these injuries can be treated with a catheter through the urethra into the bladder. This keeps urine from touching the urethra so it can mend. The catheter is often left in place for 14 to 21 days. After that time, an x-ray is taken to see if the injury has healed.
What is first stage Johanson?
The surgical technique of “First stage of Johanson procedure” is to open the urethra (figures 1, 2), leaving for ever the external urinary meatus further down (figure 3).
Does urethroplasty cause erectile dysfunction?
In addition to psychogenic factors, erectile dysfunction (ED) after urethroplasty may be due to damage to the cavernous nerve, damage to the perineal nerve, and deterioration of the flow of the bulbar artery.
Is urethroplasty a permanent cure?
We perform a urethroplasty in the hospital, under general anesthesia. This delicate procedure generally fixes the urethral stricture as well as any spongiofibrosis. Most of the time, it is a permanent cure. We perform a urethroplasty by removing the part of the urethra with the stricture and scar tissue.
Does urethroplasty cause infertility?
7) After urethroplasty, two patients married and their wives became pregnant. In conclusion, these results indicate that surgical repair of membranous urethral strictures associated with pelvic fractures has little effect on fertility.
Is there a second stage of urethroplasty According to Johanson technique?
A detailed description of first-stage urethroplasty according Johanson technique is reported. A second-stage urethroplasty using buccal mucosa graft and glue is presented. Finally postoperative course and follow-up are addressed.
What is the recovery time for a urethroplasty?
Urethroplasty recovery varies depending on the surgery method and other circumstances, but generally hospitalization does not exceed 1-5 days.
What is the revision rate for a multistage urethroplasty?
The revision rate in contemporary series ranges from 6.7% to 59% (Table 1) thus making the term “multistage” urethroplasty more apt. When feasible, it has generally been our practice to perform this augmentation or revision at the time of second stage tubularization, using oral mucosa or hairless genital skin.
How many stages of urethroplasty are needed to repair penile urethral strictures?
The repair of penile urethral strictures may require one- or two-stage urethroplasty [7], [8], [9], [10].
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