Wednesday, December 26, 2012

Urethroplasty

Read about our patient from Chamba on our hospital website.

http://www.manalihospital.com/urethroplasty/

This patient had promised to be a challenge, but we were most relieved to be able to perform a good procedure on him that will take care of his problem.

The approximating cystourethrogram in this patient had shown a long segment stricture, but on opening, we found a short segment, so were able to mobilise the urethra and obtain a good spatulated anastamosis.  For long segment strictures, the options are more challenging, with either the necessity for extensive urethral mobilisation including crural take down or a buccal mucosal graft. We had gone in prepared for both, but were most relieved to find we did not need it.


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