urethral stricture/nicotine

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Everted saphenous vein graft for long anterior urethral strictures in men with tobacco-exposed oral mucosa: A prospective nonrandomized study.

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Oral mucosal graft (OMG) is the gold standard for urethral substitution but has poor results in long anterior urethral strictures and chronic tobacco-exposed oral mucosa. Saphenous vein has been recently described for long-segment anterior urethral stricture with successful initial

Tunica albuginea urethroplasty for anterior urethral strictures: a urethroscopic analysis.

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OBJECTIVE To assess the efficacy of tunica albuginea urethroplasty (TAU) for anterior urethral strictures. METHODS We assessed 206 patients with anterior urethral strictures who underwent TAU. The procedure involves mobilization of strictured urethra and laying it open with a dorsal slit. Edges of

Double inlay plus ventral onlay buccal mucosa graft for simultaneous penile and bulbar urethral stricture.

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Buccal mucosa grafts and fascio-cutaneous flaps are frequently used in long anterior urethral strictures (1). The inlay and onlay buccal mucosa grafts are easier to perform, do not need urethral mobilization and generally have good long-term results (2-4). In the present video, we present a case

Looking beyond oral mucosa: Initial results of everted saphenous vein graft urethroplasty (eSVGU) in long anterior urethral strictures.

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OBJECTIVE To prospectively evaluate the feasibility and initial results of an everted saphenous vein graft (eSVG) as a dorsolateral onlay, in patients with long anterior urethral strictures and/or chronic tobacco users. METHODS In all, 20 patients with long anterior urethral strictures (>7 cm)

Adjunctive maneuvers to treat urethral stricture: a review of the world literature.

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The development of urethral stricture (US) or bladder neck contracture is a relatively uncommon but well described condition observed primarily in men. Despite familiarity with US disease, management remains challenging for urologists. Risk factors for the development of USs or bladder neck

Penile Circular Fasciocutaneous (McAninch) Flap as an Option for Complex Anterior Urethral Stricture in Case of Non-Viable Buccal Mucosal Graft.

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The penile circular fasciocutaneous flap (FCF) is employed in the successful single stage reconstruction of long segment complex anterior urethral strictures especially when buccal mucosa is unavailable due to various reasons. A 65-year-old gentleman, chronic smoker and tobacco chewer, hypertensive

Understanding the Relationship between Chronic Systemic Disease and Lichen Sclerosus Urethral Strictures.

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OBJECTIVE Lichen sclerosus is a chronic, inflammatory skin condition of the genitalia of unknown origin that accounts for nearly 10% of urethral stricture disease. In this study we determine systemic comorbidities associated with lichen sclerosus in men. METHODS We analyzed data from 1,151 men who

Single-stage preputial skin flap urethroplasty for long-segment urethral strictures: evaluation and determinants of success.

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OBJECTIVE To determine the overall efficacy and predictors of success of the penile preputial flap in the management of complex urethral strictures >2.5 cm in length. METHODS We performed a retrospective and prospective study of 58 patients undergoing single-stage penile preputial flap urethroplasty

Lichen sclerosus in men is associated with elevated body mass index, diabetes mellitus, coronary artery disease and smoking.

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OBJECTIVE To elucidate disease associations and possible etiology of lichen sclerosus (LS), we identified comorbidities present in men with LS. LS is a chronic inflammatory disease of unknown etiology affecting genitals and urethra of men commonly resulting in strictures. METHODS Men with LS of the

Use of Alternative Techniques and Grafts in Urethroplasty.

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The current management for complex urethral strictures commonly uses open reconstruction with buccal mucosa urethroplasty. However, there are multiple situations whereby buccal mucosa is inadequate (eg, pan-urethral stricture or prior buccal harvest) or inappropriate for utilization (eg, heavy

Urology in pre-civil war Charleston.

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OBJECTIVE With a history spanning more than 3 centuries, Charleston, South Carolina was one of the initial locations of urological teaching in the southern United States. The Medical University of South Carolina was chartered in 1823 and is the oldest medical school in the South. We reviewed the

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