This is a review article on treatment of bulbar @entity3832 with personal critical remarks on newer developments. As a treatment of first intention there exists 4 options : dilatation, urethrotomy, end to end @entity254 and free graft, open urethroplasty. Success rate of dilatation and @entity227 after 4 years is only 20 en 40% respectively. Laser urethrotomy could not fulfill expectations. End to end @entity254 obtains a very high success rate but is only applicable for short strictures. Free graft urethroplasty obtains success rates of +/- 80%. There is considerable debate on the best material for grafting. Buccal mucosa graft is the new wave, but this is not based on scientific data. Whether this graft should be used dorsally or ventrally is also a point of discussion. In view of the good results published with both techniques it is probably of no importance. Intraluminal stents are not indicated for complicated cases and give only good results in those cases which can easily be treated with other techniques. Metal self-retaining urethral stent, resorbable stents and endoscopic urethroplasty is briefly discussed. Redo's and complicated @entity3832 need often other solutions. Here skin flap from the penile skin and scrotal flap can be used. Advantages and drawbracks of both are discussed. There is still a place for two-stage procedures in complicated redo"s. The two-stage mesh-graft urethroplasty offers advantage over the use of scrotal skin. Some other rare techniques like substitution with bowel and pudendal thigh flap, to cover deep defects, are also discussed.

Treatment of bulbar XXXX a review, with personal critical remarks.

@entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity3832 :: ('MESH:D014525', 'Disease') :: ['urethral strictures'] @entity227 :: ('MESH:D014786', 'Disease') :: ['visual urethrotomy']
@entity3832 :: (MESH:D014525,Disease) :: ['urethral strictures']
