Upper transverse scrotal approach for muscle- and nerve-sparing urethral stricture repair

Objective Open surgery on bulbar urethral strictures has become a widespread procedure. While there is inconsistency which procedure to perform at the bulbar region, there is consistency of the used incisional approach despite of several potential disadvantages. Therefore, to bypass disadvantages, w...
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Gespeichert in:

Autor*in:	Seitz, Michael [verfasserIn] Liedl, Bernhard Becker, Armin Gratzke, Christian Reich, Oliver Stief, Christian

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2009

Schlagwörter:	Urethroplasty Urethral stricture Stricture repair Dorsal onlay

Anmerkung:	© Springer-Verlag 2009

Übergeordnetes Werk:	Enthalten in: World journal of urology - Berlin : Springer, 1983, 27(2009), 5 vom: 04. März
Übergeordnetes Werk:	volume:27 ; year:2009 ; number:5 ; day:04 ; month:03

Links:	Volltext

DOI / URN:	10.1007/s00345-009-0385-1

Katalog-ID:	SPR004303121

Internformat


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100	1		\|a Seitz, Michael \|e verfasserin \|4 aut
245	1	0	\|a Upper transverse scrotal approach for muscle- and nerve-sparing urethral stricture repair
264		1	\|c 2009
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520			\|a Objective Open surgery on bulbar urethral strictures has become a widespread procedure. While there is inconsistency which procedure to perform at the bulbar region, there is consistency of the used incisional approach despite of several potential disadvantages. Therefore, to bypass disadvantages, we performed an upper transverse scrotal approach for stricture repair in the pendulous urethra and the distal bulbar urethra as previously reported for the placement of an artificial urinary sphincter. Methods Thirteen patients (n = 13) with bulbar urethral stricture were operated by upper transverse scrotal incision approach. On five patients a free foreskin graft in dorsal onlay technique was performed. Eight patients obtained an end-to-end-anastomosis procedure. Pre- and postoperative uroflowmetry as well as retrograde urethrocystography were done. Pre- and postoperative residual postvoid urine were estimated by transabdominal ultrasound. The patients were followed-up for up to 12 months. Results After stricture repair, Qmax improved from mean 9.0 mL/s (SD ± 3.2) preoperatively to mean 20.3 mL/s (SD ± 3.1), postoperatively. Postvoid residual urine decreased from mean 90.0 mL (SD ± 68.7) to mean 41.5 mL (SD ± 16.1). All retrograde urethrocystographies showed regular reconstructed urethral conditions. Conclusion The upper transverse scrotal incision may combine the advantages of a less traumatical approach with the excellent results of perineal approach.
650		4	\|a Urethroplasty \|7 (dpeaa)DE-He213
650		4	\|a Urethral stricture \|7 (dpeaa)DE-He213
650		4	\|a Stricture repair \|7 (dpeaa)DE-He213
650		4	\|a Dorsal onlay \|7 (dpeaa)DE-He213
700	1		\|a Liedl, Bernhard \|4 aut
700	1		\|a Becker, Armin \|4 aut
700	1		\|a Gratzke, Christian \|4 aut
700	1		\|a Reich, Oliver \|4 aut
700	1		\|a Stief, Christian \|4 aut
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912			\|a GBV_ILN_230
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912			\|a GBV_ILN_267
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912			\|a GBV_ILN_2055
912			\|a GBV_ILN_2057
912			\|a GBV_ILN_2059
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912			\|a GBV_ILN_2064
912			\|a GBV_ILN_2065
912			\|a GBV_ILN_2068
912			\|a GBV_ILN_2070
912			\|a GBV_ILN_2086
912			\|a GBV_ILN_2088
912			\|a GBV_ILN_2093
912			\|a GBV_ILN_2106
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912			\|a GBV_ILN_2108
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952			\|d 27 \|j 2009 \|e 5 \|b 04 \|c 03

Indexfelder

author_variant	m s ms b l bl a b ab c g cg o r or c s cs
matchkey_str	article:14338726:2009----::petasessrtlprahomsladevsaigr
hierarchy_sort_str	2009
publishDate	2009
allfields	10.1007/s00345-009-0385-1 doi (DE-627)SPR004303121 (SPR)s00345-009-0385-1-e DE-627 ger DE-627 rakwb eng Seitz, Michael verfasserin aut Upper transverse scrotal approach for muscle- and nerve-sparing urethral stricture repair 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2009 Objective Open surgery on bulbar urethral strictures has become a widespread procedure. While there is inconsistency which procedure to perform at the bulbar region, there is consistency of the used incisional approach despite of several potential disadvantages. Therefore, to bypass disadvantages, we performed an upper transverse scrotal approach for stricture repair in the pendulous urethra and the distal bulbar urethra as previously reported for the placement of an artificial urinary sphincter. Methods Thirteen patients (n = 13) with bulbar urethral stricture were operated by upper transverse scrotal incision approach. On five patients a free foreskin graft in dorsal onlay technique was performed. Eight patients obtained an end-to-end-anastomosis procedure. Pre- and postoperative uroflowmetry as well as retrograde urethrocystography were done. Pre- and postoperative residual postvoid urine were estimated by transabdominal ultrasound. The patients were followed-up for up to 12 months. Results After stricture repair, Qmax improved from mean 9.0 mL/s (SD ± 3.2) preoperatively to mean 20.3 mL/s (SD ± 3.1), postoperatively. Postvoid residual urine decreased from mean 90.0 mL (SD ± 68.7) to mean 41.5 mL (SD ± 16.1). All retrograde urethrocystographies showed regular reconstructed urethral conditions. Conclusion The upper transverse scrotal incision may combine the advantages of a less traumatical approach with the excellent results of perineal approach. Urethroplasty (dpeaa)DE-He213 Urethral stricture (dpeaa)DE-He213 Stricture repair (dpeaa)DE-He213 Dorsal onlay (dpeaa)DE-He213 Liedl, Bernhard aut Becker, Armin aut Gratzke, Christian aut Reich, Oliver aut Stief, Christian aut Enthalten in World journal of urology Berlin : Springer, 1983 27(2009), 5 vom: 04. März (DE-627)254910874 (DE-600)1463303-6 1433-8726 nnns volume:27 year:2009 number:5 day:04 month:03 https://dx.doi.org/10.1007/s00345-009-0385-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 27 2009 5 04 03
spelling	10.1007/s00345-009-0385-1 doi (DE-627)SPR004303121 (SPR)s00345-009-0385-1-e DE-627 ger DE-627 rakwb eng Seitz, Michael verfasserin aut Upper transverse scrotal approach for muscle- and nerve-sparing urethral stricture repair 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2009 Objective Open surgery on bulbar urethral strictures has become a widespread procedure. While there is inconsistency which procedure to perform at the bulbar region, there is consistency of the used incisional approach despite of several potential disadvantages. Therefore, to bypass disadvantages, we performed an upper transverse scrotal approach for stricture repair in the pendulous urethra and the distal bulbar urethra as previously reported for the placement of an artificial urinary sphincter. Methods Thirteen patients (n = 13) with bulbar urethral stricture were operated by upper transverse scrotal incision approach. On five patients a free foreskin graft in dorsal onlay technique was performed. Eight patients obtained an end-to-end-anastomosis procedure. Pre- and postoperative uroflowmetry as well as retrograde urethrocystography were done. Pre- and postoperative residual postvoid urine were estimated by transabdominal ultrasound. The patients were followed-up for up to 12 months. Results After stricture repair, Qmax improved from mean 9.0 mL/s (SD ± 3.2) preoperatively to mean 20.3 mL/s (SD ± 3.1), postoperatively. Postvoid residual urine decreased from mean 90.0 mL (SD ± 68.7) to mean 41.5 mL (SD ± 16.1). All retrograde urethrocystographies showed regular reconstructed urethral conditions. Conclusion The upper transverse scrotal incision may combine the advantages of a less traumatical approach with the excellent results of perineal approach. Urethroplasty (dpeaa)DE-He213 Urethral stricture (dpeaa)DE-He213 Stricture repair (dpeaa)DE-He213 Dorsal onlay (dpeaa)DE-He213 Liedl, Bernhard aut Becker, Armin aut Gratzke, Christian aut Reich, Oliver aut Stief, Christian aut Enthalten in World journal of urology Berlin : Springer, 1983 27(2009), 5 vom: 04. März (DE-627)254910874 (DE-600)1463303-6 1433-8726 nnns volume:27 year:2009 number:5 day:04 month:03 https://dx.doi.org/10.1007/s00345-009-0385-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 27 2009 5 04 03
allfields_unstemmed	10.1007/s00345-009-0385-1 doi (DE-627)SPR004303121 (SPR)s00345-009-0385-1-e DE-627 ger DE-627 rakwb eng Seitz, Michael verfasserin aut Upper transverse scrotal approach for muscle- and nerve-sparing urethral stricture repair 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2009 Objective Open surgery on bulbar urethral strictures has become a widespread procedure. While there is inconsistency which procedure to perform at the bulbar region, there is consistency of the used incisional approach despite of several potential disadvantages. Therefore, to bypass disadvantages, we performed an upper transverse scrotal approach for stricture repair in the pendulous urethra and the distal bulbar urethra as previously reported for the placement of an artificial urinary sphincter. Methods Thirteen patients (n = 13) with bulbar urethral stricture were operated by upper transverse scrotal incision approach. On five patients a free foreskin graft in dorsal onlay technique was performed. Eight patients obtained an end-to-end-anastomosis procedure. Pre- and postoperative uroflowmetry as well as retrograde urethrocystography were done. Pre- and postoperative residual postvoid urine were estimated by transabdominal ultrasound. The patients were followed-up for up to 12 months. Results After stricture repair, Qmax improved from mean 9.0 mL/s (SD ± 3.2) preoperatively to mean 20.3 mL/s (SD ± 3.1), postoperatively. Postvoid residual urine decreased from mean 90.0 mL (SD ± 68.7) to mean 41.5 mL (SD ± 16.1). All retrograde urethrocystographies showed regular reconstructed urethral conditions. Conclusion The upper transverse scrotal incision may combine the advantages of a less traumatical approach with the excellent results of perineal approach. Urethroplasty (dpeaa)DE-He213 Urethral stricture (dpeaa)DE-He213 Stricture repair (dpeaa)DE-He213 Dorsal onlay (dpeaa)DE-He213 Liedl, Bernhard aut Becker, Armin aut Gratzke, Christian aut Reich, Oliver aut Stief, Christian aut Enthalten in World journal of urology Berlin : Springer, 1983 27(2009), 5 vom: 04. März (DE-627)254910874 (DE-600)1463303-6 1433-8726 nnns volume:27 year:2009 number:5 day:04 month:03 https://dx.doi.org/10.1007/s00345-009-0385-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 27 2009 5 04 03
allfieldsGer	10.1007/s00345-009-0385-1 doi (DE-627)SPR004303121 (SPR)s00345-009-0385-1-e DE-627 ger DE-627 rakwb eng Seitz, Michael verfasserin aut Upper transverse scrotal approach for muscle- and nerve-sparing urethral stricture repair 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2009 Objective Open surgery on bulbar urethral strictures has become a widespread procedure. While there is inconsistency which procedure to perform at the bulbar region, there is consistency of the used incisional approach despite of several potential disadvantages. Therefore, to bypass disadvantages, we performed an upper transverse scrotal approach for stricture repair in the pendulous urethra and the distal bulbar urethra as previously reported for the placement of an artificial urinary sphincter. Methods Thirteen patients (n = 13) with bulbar urethral stricture were operated by upper transverse scrotal incision approach. On five patients a free foreskin graft in dorsal onlay technique was performed. Eight patients obtained an end-to-end-anastomosis procedure. Pre- and postoperative uroflowmetry as well as retrograde urethrocystography were done. Pre- and postoperative residual postvoid urine were estimated by transabdominal ultrasound. The patients were followed-up for up to 12 months. Results After stricture repair, Qmax improved from mean 9.0 mL/s (SD ± 3.2) preoperatively to mean 20.3 mL/s (SD ± 3.1), postoperatively. Postvoid residual urine decreased from mean 90.0 mL (SD ± 68.7) to mean 41.5 mL (SD ± 16.1). All retrograde urethrocystographies showed regular reconstructed urethral conditions. Conclusion The upper transverse scrotal incision may combine the advantages of a less traumatical approach with the excellent results of perineal approach. Urethroplasty (dpeaa)DE-He213 Urethral stricture (dpeaa)DE-He213 Stricture repair (dpeaa)DE-He213 Dorsal onlay (dpeaa)DE-He213 Liedl, Bernhard aut Becker, Armin aut Gratzke, Christian aut Reich, Oliver aut Stief, Christian aut Enthalten in World journal of urology Berlin : Springer, 1983 27(2009), 5 vom: 04. März (DE-627)254910874 (DE-600)1463303-6 1433-8726 nnns volume:27 year:2009 number:5 day:04 month:03 https://dx.doi.org/10.1007/s00345-009-0385-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 27 2009 5 04 03
allfieldsSound	10.1007/s00345-009-0385-1 doi (DE-627)SPR004303121 (SPR)s00345-009-0385-1-e DE-627 ger DE-627 rakwb eng Seitz, Michael verfasserin aut Upper transverse scrotal approach for muscle- and nerve-sparing urethral stricture repair 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag 2009 Objective Open surgery on bulbar urethral strictures has become a widespread procedure. While there is inconsistency which procedure to perform at the bulbar region, there is consistency of the used incisional approach despite of several potential disadvantages. Therefore, to bypass disadvantages, we performed an upper transverse scrotal approach for stricture repair in the pendulous urethra and the distal bulbar urethra as previously reported for the placement of an artificial urinary sphincter. Methods Thirteen patients (n = 13) with bulbar urethral stricture were operated by upper transverse scrotal incision approach. On five patients a free foreskin graft in dorsal onlay technique was performed. Eight patients obtained an end-to-end-anastomosis procedure. Pre- and postoperative uroflowmetry as well as retrograde urethrocystography were done. Pre- and postoperative residual postvoid urine were estimated by transabdominal ultrasound. The patients were followed-up for up to 12 months. Results After stricture repair, Qmax improved from mean 9.0 mL/s (SD ± 3.2) preoperatively to mean 20.3 mL/s (SD ± 3.1), postoperatively. Postvoid residual urine decreased from mean 90.0 mL (SD ± 68.7) to mean 41.5 mL (SD ± 16.1). All retrograde urethrocystographies showed regular reconstructed urethral conditions. Conclusion The upper transverse scrotal incision may combine the advantages of a less traumatical approach with the excellent results of perineal approach. Urethroplasty (dpeaa)DE-He213 Urethral stricture (dpeaa)DE-He213 Stricture repair (dpeaa)DE-He213 Dorsal onlay (dpeaa)DE-He213 Liedl, Bernhard aut Becker, Armin aut Gratzke, Christian aut Reich, Oliver aut Stief, Christian aut Enthalten in World journal of urology Berlin : Springer, 1983 27(2009), 5 vom: 04. März (DE-627)254910874 (DE-600)1463303-6 1433-8726 nnns volume:27 year:2009 number:5 day:04 month:03 https://dx.doi.org/10.1007/s00345-009-0385-1 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 27 2009 5 04 03
language	English
source	Enthalten in World journal of urology 27(2009), 5 vom: 04. März volume:27 year:2009 number:5 day:04 month:03
sourceStr	Enthalten in World journal of urology 27(2009), 5 vom: 04. März volume:27 year:2009 number:5 day:04 month:03
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Urethroplasty Urethral stricture Stricture repair Dorsal onlay
isfreeaccess_bool	false
container_title	World journal of urology
authorswithroles_txt_mv	Seitz, Michael @@aut@@ Liedl, Bernhard @@aut@@ Becker, Armin @@aut@@ Gratzke, Christian @@aut@@ Reich, Oliver @@aut@@ Stief, Christian @@aut@@
publishDateDaySort_date	2009-03-04T00:00:00Z
hierarchy_top_id	254910874
id	SPR004303121
language_de	englisch
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While there is inconsistency which procedure to perform at the bulbar region, there is consistency of the used incisional approach despite of several potential disadvantages. Therefore, to bypass disadvantages, we performed an upper transverse scrotal approach for stricture repair in the pendulous urethra and the distal bulbar urethra as previously reported for the placement of an artificial urinary sphincter. Methods Thirteen patients (n = 13) with bulbar urethral stricture were operated by upper transverse scrotal incision approach. On five patients a free foreskin graft in dorsal onlay technique was performed. Eight patients obtained an end-to-end-anastomosis procedure. Pre- and postoperative uroflowmetry as well as retrograde urethrocystography were done. Pre- and postoperative residual postvoid urine were estimated by transabdominal ultrasound. The patients were followed-up for up to 12 months. Results After stricture repair, Qmax improved from mean 9.0 mL/s (SD ± 3.2) preoperatively to mean 20.3 mL/s (SD ± 3.1), postoperatively. Postvoid residual urine decreased from mean 90.0 mL (SD ± 68.7) to mean 41.5 mL (SD ± 16.1). All retrograde urethrocystographies showed regular reconstructed urethral conditions. 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author	Seitz, Michael
spellingShingle	Seitz, Michael misc Urethroplasty misc Urethral stricture misc Stricture repair misc Dorsal onlay Upper transverse scrotal approach for muscle- and nerve-sparing urethral stricture repair
authorStr	Seitz, Michael
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topic_title	Upper transverse scrotal approach for muscle- and nerve-sparing urethral stricture repair Urethroplasty (dpeaa)DE-He213 Urethral stricture (dpeaa)DE-He213 Stricture repair (dpeaa)DE-He213 Dorsal onlay (dpeaa)DE-He213
topic	misc Urethroplasty misc Urethral stricture misc Stricture repair misc Dorsal onlay
topic_unstemmed	misc Urethroplasty misc Urethral stricture misc Stricture repair misc Dorsal onlay
topic_browse	misc Urethroplasty misc Urethral stricture misc Stricture repair misc Dorsal onlay
format_facet	Elektronische Aufsätze Aufsätze Elektronische Ressource
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title	Upper transverse scrotal approach for muscle- and nerve-sparing urethral stricture repair
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title_full	Upper transverse scrotal approach for muscle- and nerve-sparing urethral stricture repair
author_sort	Seitz, Michael
journal	World journal of urology
journalStr	World journal of urology
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author_browse	Seitz, Michael Liedl, Bernhard Becker, Armin Gratzke, Christian Reich, Oliver Stief, Christian
container_volume	27
format_se	Elektronische Aufsätze
author-letter	Seitz, Michael
doi_str_mv	10.1007/s00345-009-0385-1
title_sort	upper transverse scrotal approach for muscle- and nerve-sparing urethral stricture repair
title_auth	Upper transverse scrotal approach for muscle- and nerve-sparing urethral stricture repair
abstract	Objective Open surgery on bulbar urethral strictures has become a widespread procedure. While there is inconsistency which procedure to perform at the bulbar region, there is consistency of the used incisional approach despite of several potential disadvantages. Therefore, to bypass disadvantages, we performed an upper transverse scrotal approach for stricture repair in the pendulous urethra and the distal bulbar urethra as previously reported for the placement of an artificial urinary sphincter. Methods Thirteen patients (n = 13) with bulbar urethral stricture were operated by upper transverse scrotal incision approach. On five patients a free foreskin graft in dorsal onlay technique was performed. Eight patients obtained an end-to-end-anastomosis procedure. Pre- and postoperative uroflowmetry as well as retrograde urethrocystography were done. Pre- and postoperative residual postvoid urine were estimated by transabdominal ultrasound. The patients were followed-up for up to 12 months. Results After stricture repair, Qmax improved from mean 9.0 mL/s (SD ± 3.2) preoperatively to mean 20.3 mL/s (SD ± 3.1), postoperatively. Postvoid residual urine decreased from mean 90.0 mL (SD ± 68.7) to mean 41.5 mL (SD ± 16.1). All retrograde urethrocystographies showed regular reconstructed urethral conditions. Conclusion The upper transverse scrotal incision may combine the advantages of a less traumatical approach with the excellent results of perineal approach. © Springer-Verlag 2009
abstractGer	Objective Open surgery on bulbar urethral strictures has become a widespread procedure. While there is inconsistency which procedure to perform at the bulbar region, there is consistency of the used incisional approach despite of several potential disadvantages. Therefore, to bypass disadvantages, we performed an upper transverse scrotal approach for stricture repair in the pendulous urethra and the distal bulbar urethra as previously reported for the placement of an artificial urinary sphincter. Methods Thirteen patients (n = 13) with bulbar urethral stricture were operated by upper transverse scrotal incision approach. On five patients a free foreskin graft in dorsal onlay technique was performed. Eight patients obtained an end-to-end-anastomosis procedure. Pre- and postoperative uroflowmetry as well as retrograde urethrocystography were done. Pre- and postoperative residual postvoid urine were estimated by transabdominal ultrasound. The patients were followed-up for up to 12 months. Results After stricture repair, Qmax improved from mean 9.0 mL/s (SD ± 3.2) preoperatively to mean 20.3 mL/s (SD ± 3.1), postoperatively. Postvoid residual urine decreased from mean 90.0 mL (SD ± 68.7) to mean 41.5 mL (SD ± 16.1). All retrograde urethrocystographies showed regular reconstructed urethral conditions. Conclusion The upper transverse scrotal incision may combine the advantages of a less traumatical approach with the excellent results of perineal approach. © Springer-Verlag 2009
abstract_unstemmed	Objective Open surgery on bulbar urethral strictures has become a widespread procedure. While there is inconsistency which procedure to perform at the bulbar region, there is consistency of the used incisional approach despite of several potential disadvantages. Therefore, to bypass disadvantages, we performed an upper transverse scrotal approach for stricture repair in the pendulous urethra and the distal bulbar urethra as previously reported for the placement of an artificial urinary sphincter. Methods Thirteen patients (n = 13) with bulbar urethral stricture were operated by upper transverse scrotal incision approach. On five patients a free foreskin graft in dorsal onlay technique was performed. Eight patients obtained an end-to-end-anastomosis procedure. Pre- and postoperative uroflowmetry as well as retrograde urethrocystography were done. Pre- and postoperative residual postvoid urine were estimated by transabdominal ultrasound. The patients were followed-up for up to 12 months. Results After stricture repair, Qmax improved from mean 9.0 mL/s (SD ± 3.2) preoperatively to mean 20.3 mL/s (SD ± 3.1), postoperatively. Postvoid residual urine decreased from mean 90.0 mL (SD ± 68.7) to mean 41.5 mL (SD ± 16.1). All retrograde urethrocystographies showed regular reconstructed urethral conditions. Conclusion The upper transverse scrotal incision may combine the advantages of a less traumatical approach with the excellent results of perineal approach. © Springer-Verlag 2009
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title_short	Upper transverse scrotal approach for muscle- and nerve-sparing urethral stricture repair
url	https://dx.doi.org/10.1007/s00345-009-0385-1
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author2	Liedl, Bernhard Becker, Armin Gratzke, Christian Reich, Oliver Stief, Christian
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up_date	2024-07-04T00:34:24.342Z
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fullrecord_marcxml	<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">SPR004303121</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230519165908.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">201001s2009 xx \|\|\|\|\|o 00\| \|\|eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1007/s00345-009-0385-1</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)SPR004303121</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(SPR)s00345-009-0385-1-e</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Seitz, Michael</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Upper transverse scrotal approach for muscle- and nerve-sparing urethral stricture repair</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2009</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">© Springer-Verlag 2009</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Objective Open surgery on bulbar urethral strictures has become a widespread procedure. While there is inconsistency which procedure to perform at the bulbar region, there is consistency of the used incisional approach despite of several potential disadvantages. Therefore, to bypass disadvantages, we performed an upper transverse scrotal approach for stricture repair in the pendulous urethra and the distal bulbar urethra as previously reported for the placement of an artificial urinary sphincter. Methods Thirteen patients (n = 13) with bulbar urethral stricture were operated by upper transverse scrotal incision approach. On five patients a free foreskin graft in dorsal onlay technique was performed. Eight patients obtained an end-to-end-anastomosis procedure. Pre- and postoperative uroflowmetry as well as retrograde urethrocystography were done. Pre- and postoperative residual postvoid urine were estimated by transabdominal ultrasound. The patients were followed-up for up to 12 months. Results After stricture repair, Qmax improved from mean 9.0 mL/s (SD ± 3.2) preoperatively to mean 20.3 mL/s (SD ± 3.1), postoperatively. Postvoid residual urine decreased from mean 90.0 mL (SD ± 68.7) to mean 41.5 mL (SD ± 16.1). All retrograde urethrocystographies showed regular reconstructed urethral conditions. Conclusion The upper transverse scrotal incision may combine the advantages of a less traumatical approach with the excellent results of perineal approach.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Urethroplasty</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Urethral stricture</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Stricture repair</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Dorsal onlay</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Liedl, Bernhard</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Becker, Armin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Gratzke, Christian</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Reich, Oliver</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Stief, Christian</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">Enthalten in</subfield><subfield code="t">World journal of urology</subfield><subfield code="d">Berlin : Springer, 1983</subfield><subfield code="g">27(2009), 5 vom: 04. 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Upper transverse scrotal approach for muscle- and nerve-sparing urethral stricture repair

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