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Colegio de Medicos y Cirujanos República de Costa Rica

2014, Number 610

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Rev Med Cos Cen 2014; 71 (610)

Estrecheces uretrales

Stanford VL, Esquivel VLF

Language: Spanish
References: 13
Page: 359-364
PDF size: 385.39 Kb.


ABSTRACT

The term urethral stricture refers to anterior urethral disease, or a scarring process involving the spongy erectile tissue of the corpus spongiosum (spongiofibrosis). The spongy erectile tissue of the corpus spongiosum underlies the urethral epithelium and in some cases the scarring process extends through the tissues of the corpus spongiosum and into adjacent tissues. Contraction of this scar reduces the urethral lumen. Posterior urethral stricture is an obliterative process in the posterior urethra that has resulted in fibrosis and is generally the effect of distraction in that area caused by either trauma or radical prostatectomy (9,12). Patients who have urethral strictures most often present with obstructive voiding symptoms or urinary tract infections such as prostatitis and epididymitis. Some patients also present with urinary retention. Before the repair of any strictures, it is important to define the precise anatomy of the defect before treatment. Treatment ranges from urethral dilations to complex surgical procedures.


REFERENCES

  1. Attwater HL. History of urethral stricture. Br J Urol 1943; 15: 39

  2. Barbagli. Adherence to the Right Diagnostic tools for Best Outcomes in Urethral Reconstructive Surgery. European urology 50 (2006); Pp. 424-425

  3. Barbagli et al. Anastomotic Fibrous Ring as Cause of Stricture Recurrence After Bulbar Onlay Graft Urethroplasty. J Uro Vol. 176, August 2006; Pp. 614-619

  4. Bargagli et al. Muscle and Nervesparing Bulbar Urethroplasty: A New Technique. European Urology 54 (2008); Pp. 335-343

  5. Barbagli et al. Surgical treatment of Anterior Urethral Stricture Diseases: Brief Overview. International Braz J Urol Vol. 33, July- August, 2007; Pp. 461-469

  6. Das et al. Lingual Mucosal Graft Urethroplasty for Anterior Urethral Strictures. Urology 73. 2009; Pp. 105-108

  7. Eltahawy et al. Long-Term Followup for Excision and Primary Anastomosis for Anterior Urethral Strictures. J Uro Vol. 177, May 2007; Pp. 1803-1806

  8. Erickson et al. Prospective Analysis of Erectile Dysfunction After Anterior Urethroplasty: Incidence and Recovery of Function. J Uro Vol. 183, February 2010; Pp. 657-661

  9. Lee YJ, Kim SW. Current Management of Urethral Stricture. Korean J Urol. 2013 Sep 10; Pp. 561-569

  10. Nicolaas et al. Etiology of Urethral Stricture Disease in the 21st Century. J Uro Vol.182, 2009 Sep; Pp. 182, 983-987

  11. Song L, Xie M, Zhang Y, Xu Y. Imaging Techniques for the diagnosis of male traumatic urethral strictures. J Xray Sci Technol. 2013; Pp. 111-123

  12. Wein AJ et al. Campbell –Walsh. Urology, Saunders Elsevier, vol. 1, 10 edición, 2012; Pp.: 1023-1097

  13. Wong E, Tse V, Wong J. Durability of Menokath(TM) Urethral Stent for Stabilization of Recurrent Bulbar Urethral Strictures- Medium Term Results. BJU Int. 2013 Sep 11; Pp. 1-12




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