Update on the management of penile and meatal strictures
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Update on the management of penile and meatal strictures. / Vetterlein, Malte W; Fisch, Margit; Zumstein, Valentin; Trauma and Reconstructive Urology Working Party of the European Association of Urology (EAU) Young Academic Urologists (YAU).
In: CURR OPIN UROL, Vol. 31, No. 5, 01.09.2021, p. 493-497.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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TY - JOUR
T1 - Update on the management of penile and meatal strictures
AU - Vetterlein, Malte W
AU - Fisch, Margit
AU - Zumstein, Valentin
AU - Trauma and Reconstructive Urology Working Party of the European Association of Urology (EAU) Young Academic Urologists (YAU)
N1 - Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2021/9/1
Y1 - 2021/9/1
N2 - PURPOSE OF REVIEW: Treatment of penile and distal urethral strictures including the fossa navicularis and the meatus remains challenging due to their adverse etiology and lack of ventral tissue support. In this contemporary review, we summarize the available evidence and recent advancements in reconstructive techniques.RECENT FINDINGS: Over the last years, several refinements of already established techniques have been added to the reconstructive armamentarium in the management of penile urethral strictures. These include the single-stage combination of flap and graft, the additional use of tissue glue, or an optimized single-stage tubularization using a free graft.SUMMARY: There is a shift toward an increased use of single-stage procedures even in complex strictures of the penile and distal urethra. This is reflected by advancements and refinements in operative techniques. Nonetheless, staged urethroplasty remains a cornerstone of curative management in such patients with durable success rates. Future research should focus on identifying distinct patient and stricture characteristics to determine the individual therapeutic approach with optimal functional outcomes.
AB - PURPOSE OF REVIEW: Treatment of penile and distal urethral strictures including the fossa navicularis and the meatus remains challenging due to their adverse etiology and lack of ventral tissue support. In this contemporary review, we summarize the available evidence and recent advancements in reconstructive techniques.RECENT FINDINGS: Over the last years, several refinements of already established techniques have been added to the reconstructive armamentarium in the management of penile urethral strictures. These include the single-stage combination of flap and graft, the additional use of tissue glue, or an optimized single-stage tubularization using a free graft.SUMMARY: There is a shift toward an increased use of single-stage procedures even in complex strictures of the penile and distal urethra. This is reflected by advancements and refinements in operative techniques. Nonetheless, staged urethroplasty remains a cornerstone of curative management in such patients with durable success rates. Future research should focus on identifying distinct patient and stricture characteristics to determine the individual therapeutic approach with optimal functional outcomes.
KW - Constriction, Pathologic
KW - Humans
KW - Male
KW - Penis/surgery
KW - Reconstructive Surgical Procedures
KW - Retrospective Studies
KW - Treatment Outcome
KW - Urethra/surgery
KW - Urethral Stricture/diagnosis
KW - Urologic Surgical Procedures, Male/adverse effects
U2 - 10.1097/MOU.0000000000000910
DO - 10.1097/MOU.0000000000000910
M3 - SCORING: Review article
C2 - 34224436
VL - 31
SP - 493
EP - 497
JO - CURR OPIN UROL
JF - CURR OPIN UROL
SN - 0963-0643
IS - 5
ER -
