Medical & Surgical Urology
Open Access

Jonathan N Warner

Publications

• Research Article
  Direct Visual Internal Urethrotomy after Failed Bulbar Urethroplasty
  Author(s): Jonathan N Warner, Min S Jun, Ibraheem M Malkawi and Richard A Santucci Jonathan N Warner, Min S Jun, Ibraheem M Malkawi and Richard A Santucci
  
  Introduction: Ideal management of failed bulbar urethroplasty is ill defined. The role of direct visual internal urethrotomy (DVIU) as salvage treatment for failed urethroplasty warrants exploration. Material and methods: Patients who failed urethroplasty (buccal or anastomotic) for bulbar urethral stricture from April 2000-April 2013 were reviewed. Demographics, prior treatments, stricture length, and operative approach were evaluated for risk of salvage DVIU failure. Results: Forty-five patients underwent 11 anastomotic and 34 buccal mucosal urethroplasties. Mean stricture length was 3.9cm (0.5- 9cm), mean follow-up was 40 months (12-160 months) and mean time to failure was 20 months (1-133 months). Upon failure, 4 patients underwent redo urethroplasty, and 41 underwent DVIU. Patients treated with immediate redo .. View More»
  DOI: 10.4172/2168-9857.1000154

  Abstract PDF

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