Joachim A. Steffens, Petra Anheuser, Adrian E. Treiyer, Britta Reisch and
Peter R. Malone
Treatment of the urethral complications of lichen sclerosus is known to be problematic. Although buccal mucosa grafts or extragenital skin provide the best long-term results for pan-urethral or fossa navicularis strictures [1,2] the surgeon seeking to treat a patient with pure meatal stenosis finds little help from previous reports. The frequent pooling of results from meatal and submeatal strictures, and from children and adults, adds to the difficulty [3,4].
When planning surgery for meatal stenosis, the functional and cosmetic aspects should be considered. An ideal operation should permanently relieve obstruction, while recreating a slit-like meatus at the tip of the glans penis that allows the patient to
pass urine without spraying . Several operations have been described, including meatal dilatation, simple ventral meatotomy and various types of distal urethroplasty.
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- Politano-Leadbetter ureteric reimplantation
- Endoscopic treatment of vesicoureteral reﬂux
- Laparoscopic transposition of lower pole crossing vessels ( ‘ vascular hitch ’ ) in pure extrinsic pelvi-ureteric junction (PUJ) obstruction in children
- Cắt bỏ dãn tĩnh mạch thừng tinh bằng vi phẫu
- Outpatient novel ‘out-leaf’ (ONOL) procedure for idiopathic hydrocele
- Néphrectomie laparoscopique sur donneur vivant
- T-shunt with or without tunnelling for prolonged ischaemic priapism
- Kỹ thuật cố định tinh hoàn bằng nội soi