eMedicine Specialties > Urology > Strictures

Urethral Strictures, Male: Multimedia

Author: Angelo E Gousse, MD, Professor of Urology and Gynecology, Director of Urology Residency Program, University of Miami School of Medicine; Director, Urodynamics Laboratory, Miami Veterans Affairs Medical Center
Coauthor(s): Daniel J Caruso, MD, MBA, Clinical Instructor, Division of Female Urology, Voiding Dysfunction, and Pelvic Floor Reconstruction, Department of Urology, University of Miami/Jackson Health Systems; Richard A Santucci, MD, FACS, Chief of Urology, Detroit Receiving Hospital; Specialist-in-Chief of Urology, Detroit Medical Center; Chief of Urologic Trauma Surgery, Sinai Grace Hospital; Director, The Center for Urologic Reconstruction; Clinical Professor of Urology, Michigan State College of Medicine; Joshua A Broghammer, MD, Resident Physician, Department of Urology, Wayne State University; Jon Timothy Posey, MD, Staff Physician, Department of Urology, University of Miami School of Medicine
Contributor Information and Disclosures

Updated: Jun 24, 2009

Multimedia

Urethral strictures. Cross-sectional diagram of t...Media file 1: Urethral strictures. Cross-sectional diagram of the penis.
Urethral strictures. Cross-sectional diagram of t...

Urethral strictures. Cross-sectional diagram of the penis.

Urethral strictures. Schematic of penile anatomy.Media file 2: Urethral strictures. Schematic of penile anatomy.
Urethral strictures. Schematic of penile anatomy.

Urethral strictures. Schematic of penile anatomy.

Retrograde urethrogram demonstrating bulbar ureth...Media file 3: Retrograde urethrogram demonstrating bulbar urethral stricture.
Retrograde urethrogram demonstrating bulbar ureth...

Retrograde urethrogram demonstrating bulbar urethral stricture.

Urethral strictures. Retrograde urethrogram demon...Media file 4: Urethral strictures. Retrograde urethrogram demonstrating complete obliteration of the bulbous urethra.
Urethral strictures. Retrograde urethrogram demon...

Urethral strictures. Retrograde urethrogram demonstrating complete obliteration of the bulbous urethra.

Retrograde urethrogram demonstrating pan-urethral...Media file 5: Retrograde urethrogram demonstrating pan-urethral stricture disease.
Retrograde urethrogram demonstrating pan-urethral...

Retrograde urethrogram demonstrating pan-urethral stricture disease.

Urethral strictures. Retrograde urethrogram demon...Media file 6: Urethral strictures. Retrograde urethrogram demonstrating patent urethra after buccal mucosa urethroplasty.
Urethral strictures. Retrograde urethrogram demon...

Urethral strictures. Retrograde urethrogram demonstrating patent urethra after buccal mucosa urethroplasty.

Urethral strictures. Retrograde urethrogram demon...Media file 7: Urethral strictures. Retrograde urethrogram demonstrating patent urethra after excision of stricture and primary anastomosis.
Urethral strictures. Retrograde urethrogram demon...

Urethral strictures. Retrograde urethrogram demonstrating patent urethra after excision of stricture and primary anastomosis.

Urethral strictures. Photograph of a permanent ur...Media file 8: Urethral strictures. Photograph of a permanent urethral stent.
Urethral strictures. Photograph of a permanent ur...

Urethral strictures. Photograph of a permanent urethral stent.

Urethral strictures. A buccal mouth graft has bee...Media file 9: Urethral strictures. A buccal mouth graft has been harvested from the inner aspect of the cheek. The graft size is measured to accommodate the length of urethra involved in the onlay.
Urethral strictures. A buccal mouth graft has bee...

Urethral strictures. A buccal mouth graft has been harvested from the inner aspect of the cheek. The graft size is measured to accommodate the length of urethra involved in the onlay.

Urethral strictures. The buccal mucosal grafts ha...Media file 10: Urethral strictures. The buccal mucosal grafts have been secured to the corpora cavernosa. The anastomosis will run along either side of the dorsum of the urethral edges to complete the dorsal onlay. The glans penis (distal) is at the top of the picture. The catheterized urethra with a dorsal urethrotomy is on the left.
Urethral strictures. The buccal mucosal grafts ha...

Urethral strictures. The buccal mucosal grafts have been secured to the corpora cavernosa. The anastomosis will run along either side of the dorsum of the urethral edges to complete the dorsal onlay. The glans penis (distal) is at the top of the picture. The catheterized urethra with a dorsal urethrotomy is on the left.

Urethral strictures. Photograph of open urethropl...Media file 11: Urethral strictures. Photograph of open urethroplasty depicting the pedicled flap.
Urethral strictures. Photograph of open urethropl...

Urethral strictures. Photograph of open urethroplasty depicting the pedicled flap.

Urethral strictures. Photograph depicting pedicle...Media file 12: Urethral strictures. Photograph depicting pedicled flap anastomosed to the left side of the urethra. Suturing of the right side of the pedicled flap to the urethra completes the anastomosis.
Urethral strictures. Photograph depicting pedicle...

Urethral strictures. Photograph depicting pedicled flap anastomosed to the left side of the urethra. Suturing of the right side of the pedicled flap to the urethra completes the anastomosis.

Urethral strictures. The anastomosis of the pedic...Media file 13: Urethral strictures. The anastomosis of the pedicled flap is complete. The pedicle of the flap (left side) originates from the dorsolateral aspect of the penis. The glans penis (distal) is at the top of the photograph.
Urethral strictures. The anastomosis of the pedic...

Urethral strictures. The anastomosis of the pedicled flap is complete. The pedicle of the flap (left side) originates from the dorsolateral aspect of the penis. The glans penis (distal) is at the top of the photograph.

More on Urethral Strictures, Male

Overview: Urethral Strictures, Male
Workup: Urethral Strictures, Male
Treatment: Urethral Strictures, Male
Follow-up: Urethral Strictures, Male
Multimedia: Urethral Strictures, Male
References

References

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  2. Angermeier KW, Jordan GH, Schlossberg SM. Complex urethral reconstruction. Urol Clin North Am. Aug 1994;21(3):567-81. [Medline].

  3. Barbagli G, De Angelis M, Romano G, Lazzeri M. Long-term follow-up of bulbar end-to-end anastomosis: a retrospective analysis of 153 patients in a single center experience. J Urol. Dec 2007;178:2470-3. [Medline].

  4. Coursey JW, Morey AF, McAninch JW, et al. Erectile function after anterior urethroplasty. J Urol. Dec 2001;166(6):2273-6. [Medline].

  5. De Vocht TF, van Venrooij GE, Boon TA. Self-expanding stent insertion for urethral strictures: a 10-year follow-up. BJU Int. May 2003;91(7):627-30. [Medline].

  6. Dublin N, Stewart LH. Oral complications after buccal mucosal graft harvest for urethroplasty. BJU Int. Oct 2004;94(6):867-9. [Medline].

  7. El Kassaby AW, Abouschwareb T, Atala A. Randomized comparative study between buccal mucosal and acellular bladder matrix grafts in complex anterior urethral strictures. J Urol. April 2008;179:1432-6. [Medline].

  8. Greenwell TJ, Venn SN, Mundy AR. Changing practice in anterior urethroplasty. BJU Int. Apr 1999;83(6):631-5. [Medline].

  9. Jordan GH, Schlossberg SM. Surgery of the penis and urethra. In: Wein AJ, et al, eds. Campbell-Walsh Urology. Vol 1. 9th ed. Philadelphia, Pa: WB Saunders Co; 2007:1023-97.

  10. Milroy E, Allen A. Long-term results of urolume urethral stent for recurrent urethral strictures. J Urol. Mar 1996;155(3):904-8. [Medline].

  11. Morey AF, Metro MJ, Carney KJ, et al. Consensus of genitourinary trauma: External genitalia. BJU Int. Mar 2004;94:507-15. [Medline].

  12. Morgia G, Saita A, Morana F, et al. Endoprosthesis implantation in the treatment of recurrent urethral stricture: a multicenter study. Sicilian-Calabrian Urology Society. J Endourol. Oct 1999;13(8):587-90. [Medline].

  13. Mundy AR. Management of urethral strictures. Postgrad Med J. Aug 2006;82(970):489-9. [Medline].

  14. Ouattara DN, N'zi KP, Diabaté AS, Coulibaly N, Dédé NS, Yapo P, et al. Value of perineal ultrasonography for diagnosing anterior urethral strictures. J Rad. May 2004;85:639-42. [Medline].

  15. Pansadoro V, Emiliozzi P, Gaffi M, Scarpone P. Buccal mucosa urethroplasty for the treatment of bulbar urethral strictures. J Urol. May 1999;161(5):1501-3. [Medline].

  16. Shah DK, Paul EM, Badlani GH. North American Study Group. 11-year outcome analysis of endourethral prosthesis for the treatment of recurrent bulbar urethral stricture. J Urol. Mar 2003;170(4 Pt 1):1255-8. [Medline].

  17. Steenkamp JW, Heyns CF, de Kock ML. Internal urethrotomy versus dilation as treatment for male urethral strictures: a prospective, randomized comparison. J Urol. Jan 1997;157(1):98-101. [Medline].

  18. Wessells H, McAninch JW. Current controversies in anterior urethral stricture repair: free-graft versus pedicled skin-flap reconstruction. World J Urol. 1998;16(3):175-80. [Medline].

Further Reading

Keywords

urethral stricture, urethral strictures, urethral obstruction, urethral scar, anterior urethral stricture disease, scarring in the corpus spongiosum, internal urethrotomy, permanent urethral stents, primary repair, full-thickness skin graft, split-thickness skin graft, buccal mucosal graft, bladder mucosal graft, pedicled skin flaps, skin island onlay flaps, hairless scrotal island flap, skin island tubularized flap

Contributor Information and Disclosures

Author

Angelo E Gousse, MD, Professor of Urology and Gynecology, Director of Urology Residency Program, University of Miami School of Medicine; Director, Urodynamics Laboratory, Miami Veterans Affairs Medical Center
Angelo E Gousse, MD is a member of the following medical societies: American Spinal Injury Association, American Urological Association, and Society of University Urologists
Disclosure: Nothing to disclose.

Coauthor(s)

Daniel J Caruso, MD, MBA, Clinical Instructor, Division of Female Urology, Voiding Dysfunction, and Pelvic Floor Reconstruction, Department of Urology, University of Miami/Jackson Health Systems
Daniel J Caruso, MD, MBA is a member of the following medical societies: American Medical Association, American Urological Association, Endourological Society, and Florida Urological Society
Disclosure: Nothing to disclose.

Richard A Santucci, MD, FACS, Chief of Urology, Detroit Receiving Hospital; Specialist-in-Chief of Urology, Detroit Medical Center; Chief of Urologic Trauma Surgery, Sinai Grace Hospital; Director, The Center for Urologic Reconstruction; Clinical Professor of Urology, Michigan State College of Medicine
Richard A Santucci, MD, FACS is a member of the following medical societies: American College of Surgeons, American Urological Association, and Société Internationale d'Urologie (International Society of Urology)
Disclosure: Nothing to disclose.

Joshua A Broghammer, MD, Resident Physician, Department of Urology, Wayne State University
Joshua A Broghammer, MD is a member of the following medical societies: American College of Surgeons, American Medical Association, and American Urological Association
Disclosure: Nothing to disclose.

Jon Timothy Posey, MD, Staff Physician, Department of Urology, University of Miami School of Medicine
Jon Timothy Posey, MD is a member of the following medical societies: American Urological Association
Disclosure: Nothing to disclose.

Medical Editor

Daniel B Rukstalis, MD, Director of Urological Services, Geisinger Medical Center, Geisinger Medical Group
Daniel B Rukstalis, MD is a member of the following medical societies: American Association for the Advancement of Science and American Urological Association
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

CME Editor

J Stuart Wolf Jr, MD, FACS, David A Bloom Professor of Urology, Director of Division of Minimally Invasive Urology, Department of Urology, University of Michigan
J Stuart Wolf Jr, MD, FACS is a member of the following medical societies: American College of Surgeons, American Urological Association, Catholic Medical Association, Endourological Society, Society for Urology and Engineering, Society of Laparoendoscopic Surgeons, Society of University Urologists, and Society of Urologic Oncology
Disclosure: Terumo Corporation Consulting fee Consulting; Omeros Corporation Consulting fee Consulting

Chief Editor

Bradley Fields Schwartz, DO, FACS, Professor of Urology, Director, Center for Laparoscopy and Endourology, Department of Surgery, Southern Illinois University School of Medicine
Bradley Fields Schwartz, DO, FACS is a member of the following medical societies: American College of Surgeons, American Urological Association, Association of Military Osteopathic Physicians and Surgeons, Endourological Society, Society of Laparoendoscopic Surgeons, and Society of University Urologists
Disclosure: Nothing to disclose.

 
 
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