Urethral Reconstructive Surgery
Urethral reconstructive surgery can often be complex, time consuming and demanding. Enlightening urologists in a practical manner, Urethral Reconstructive Surgery evaluates and manages complex urethral problems. Written by a panel of experts in the field,
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CURRENT CLINICAL UROLOGY ERIC A. KLEIN, MD, SERIES EDITOR
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Urethral Reconstructive Surgery Edited by
Steven B. Brandes, M.D., FACS
Editor Steven B. Brandes MD, FACS Washington University School of Medicine Saint Louis, MO USA [email protected] Series Editor Eric A. Klein, MD Professor of Surgery Cleveland Clinic Lerner College of Medicine Head, Section of Urologic Oncology Glickman Urological and Kidney Institute Cleveland, OH
ISBN: 978-1-58829-826-3 e-ISBN: 978-1-59745-103-1 DOI: 10.1007/978-1-59745-103-1 Library of Congress Control Number: 2008929547 © 2008 Humana Press, a part of Springer Science + Business Media, LLC All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Humana Press, 999 Riverview Drive, Suite 208, Totowa, NJ 07512 USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. While the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Cover illustrations: (Clockwise from top) Postoperative urethrogram with widely patent bulbar urethra and characteristic shelf-like appearance, after a dorsal, augmented anastomotic urethroplasty (Fig. 13.14; see discussion on p. 149); long bulbar urethral stricture with tight proximal segment and an adjacent, distal portion of affected urethra (Fig. 13.5; see complete caption on p. 145); buccal mucosal graft augmented by a gracilis muscle flap, in the repair of a prostato-rectal fistula (Fig. 22.11; see complete caption on p. 260); retrograde urethrogram showing restenosis by hypertrophic tissue within tandem placed Urolume stents in the bulbar urethra (Fig. 8.3; see discussion on p. 88); and bulbar urethral mobilization for dorsal placement of a buccal mucosal graft urethroplasty (Fig. 11.21; see complete caption on p. 128). Printed on acid-free paper 9 8 7 6 5 4 3 2 1 springer.com
Preface
Urethral reconstructive surgery can often be complex, time consuming, and demanding. Most urologists today have had little exposure or experience with urethral surgery during their training or in practice. This general lack of exposure, and thus lack of knowledge, has led to the popularity of temporizing procedures such as urethrotomy and
