Journal article
Anastomotic urethroplasty in female urethral stricture guided by cystoscopy - a point of technique
Journal of surgical technique and case report, Vol.5(2), pp.113-115
07/01/2013
DOI: 10.4103/2006-8808.128758
PMCID: PMC3977326
PMID: 24741435
Abstract
During anastomotic urethroplasty for stricture urethra with false passage using standard technique, there remains a chance of anastomosis of normal distal urethra to proximal false lumen. Herein, we present a point of technique in which by using antegrade cystoscope, one cannot just identify and dissect normal anatomical proximal urethral lumen, but also perform some of the steps for anastomosis under direct vision. This will avoid making anastomosis to false lumen and thus leading to further complications.
We report a case of 35-years-female who was presented to us with total mid-urethral stricture with false passage following multiple urethral dilatation attempts. We used antegrade cystoscopy during anastomotic urethroplasty to identify and dissect the proximal end of urethra thereby avoiding anastomosis to false tract.
We successfully performed anastomotic urethroplasty avoiding false passage. Post-operative Uroflow showed Q max of 18 ml/sec. Voiding cystourethrogram post-operatively showed anastomosis between normal anatomical lumens.
This modification of using antegrade cystoscopy helps to identify proximal urethral end which in turn helps in avoiding anastomosis to false tract and ensures anastomosis between normal lumens.
Details
- Title: Subtitle
- Anastomotic urethroplasty in female urethral stricture guided by cystoscopy - a point of technique
- Creators
- Sachin Patil - King George's Medical UniversityDeepansh Dalela - King George's Medical UniversityDivakar Dalela - King George's Medical UniversityApul Goel - King George's Medical UniversityPushpalata Sankhwar - King George's Medical UniversitySatya N Sankhwar - King George's Medical University
- Resource Type
- Journal article
- Publication Details
- Journal of surgical technique and case report, Vol.5(2), pp.113-115
- DOI
- 10.4103/2006-8808.128758
- PMID
- 24741435
- PMCID
- PMC3977326
- NLM abbreviation
- J Surg Tech Case Rep
- ISSN
- 2006-8808
- eISSN
- 0976-2825
- Language
- English
- Date published
- 07/01/2013
- Academic Unit
- Urology
- Record Identifier
- 9984949202902771
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