By Steven B. Brandes MD (auth.), Steven B. Brandes, Allen F. Morey (eds.)
Since the book of the 1st version of Urethral Reconstructive Surgery, very important refinements were additional to the urologic surgical armamentarium. greatly revised and up-to-date, Advanced Male Urethral and Genital Reconstructive surgical procedure, moment version guides urologists in a realistic demeanour on how you can overview and deal with complicated urethral and male genital reconstructive demanding situations. Chapters were additional on wound therapeutic, synchronous urethral strictures, non-transecting anastomotic urethroplasty (including muscle and vessel sparing), overlapping buccal grafts, male urethral slings, genital epidermis grafting, Peyronie’s surgical procedure, priapism, pediatric strictures and prosthetics. Such chapters vastly boost the final allure of the booklet. the amount closes with a brand new accomplished appendix of most well liked instruments.
With vast contributions by means of overseas experts in reconstructive urologic surgical procedure, Advanced Male Urethral and Genital Reconstructive surgical procedure, moment Edition is a important source for all urologists, from citizens to reconstructive surgeons.
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Extra resources for Advanced Male Urethral and Genital Reconstructive Surgery
Bipolar, wide-tip cautery 14 4. Baby Yankauer-type suction, “Andrews” sucker 5. Bougie à boules from 10 to 32 F 6. Lone Star retractor, #3308 (large ring), and corresponding hook: blue (“dura”) hooks, #3311 (5 mm) × 6, and four-arm yellow hooks, #3334 (14 × 20 mm) × 4 (Cooper Surgical, Trumbull, CT) 7. 18 F Robnel catheter 8. Stevens tenotomy scissors, 6" 9. 5 Castro toothed forceps × 2 10. Jerold’s forceps with teeth × 2 11. Van Buren sounds 20–32 F 12. 5” Deaver retractor) 13. Foam pad from needle counter or vein board 14.
11). Urethral ischemic necrosis or ischemia refers to recurrence of stricture of the anterior and proximal urethra after excision and primary anastomosis (EPA) urethral surgery. Such ischemic strictures are particularly difficult to manage because often they are very long and have either a very narrow caliber or completely obliterate the proximal anterior urethra. In contrast, technical error strictures are typically short, annular, and easily amenable to internal urethrotomy. Jordan and Colen , upon reviewing all their failed posterior urethroplasties after pelvic fracture, observed that patients who developed the severe complication of proximal urethral necrosis all seemed to have one or more of the same characteristics; namely, previous histories of pelvic fracture associated with vascular injuries were children, were elderly, had a cold or decreased sensate glans penis, had decreased erections, or had failed prior posterior urethroplasty.
Grossly, the skin surface is dark and wrinkled while the opposite mucosal lining exhibits a pink to tan coloration. Histologically, there are five layers to the foreskin – the epidermis, dermis, dartos, lamina propria, and epithelium. The skin is made up of epidermis with keratinized stratified squamous epithelium and dermis with connective tissue containing blood vessels, nerve endings, Meissner (touch) and Vater-Panini (deep pressure and vibration) corpuscles, a few hair structures, and sebaceous and sweat glands.
Advanced Male Urethral and Genital Reconstructive Surgery by Steven B. Brandes MD (auth.), Steven B. Brandes, Allen F. Morey (eds.)