The urethra is a small tubular structure that drains urine from the bladder. In women, it is about 3 cm long; in men about 20 cm long. One of the more common reasons for reconstruction of the urethra is traumatic injury. Urethral injury may be of secondary importance when the patient comes into the emergency room, but devastating urological complications, such as sexual dysfunction, incontinence, and stricture (abnormal temporary or permanent narrowing of the lumen of a hollow organ), may drastically impair quality of life in the long term. Urethral injury should be considered in the setting of penile injury, pelvicfracture, or penetrating trauma to the genitalia or pelvis. Penetrating urethral injuries may occur because of gunshot wounds or stab injuries to the penis, buttock, abdomen, or scrotum. Delayed injury may arise from a chronic indwelling urethral catheter, secondary to pressure necrosis, infection, or chemicalirritation. Comprehensive review of adult urethral reconstructive surgery Evaluates complex urethral problems Provides practical aspects of wound healing and applicable plastic surgical techniques Practical, functions as a surgical atlas for the evaluation and management of urethral stricture disease INDICE: From the contents Genital Skin and Urethral Anatomy.- Vascular Anatomy of Genital Skin and the Urethra: Implications for Urethral Reconstruction.- Lichen Sclerosis.- Imaging of the Male Urethra.- Techniques in Tissue Transfer: Plastic Surgery for the Urologist.- Epidemiology, Etiology, Histology, Classification and Economic Impact of Urethral Stricture Disease.- Urethrotomy and other Minimally Invasive Interventions for Urethral Stricture.- Endourethral Prostheses for Urethral Stricture.- Fossa Navicularis and Meatal Reconstruction.- Stricture Excision and Primary Anastomosis for Anterior Urethral Strictures.- Buccal Mucosal Graft Urethroplasty.- Lingual and Posterior Auricular Skin Grafts.- Augmented Anastomotic Urethroplasty.- Penile Skin Flaps for Urethral Reconstruction.- Pan-urethral Strictures.- The Combined Use of Fasciocutaneous, Muscular and Myocutaneous Flaps and Graft Onlays in Urethral Reconstruction.- Posterior Urethral Strictures.- Staged Urethroplasty.
- ISBN: 978-1-58829-826-3
- Editorial: Humana
- Encuadernacion: Cartoné
- Páginas: 400
- Fecha Publicación: 01/07/2008
- Nº Volúmenes: 1
- Idioma: Inglés