The Modified Russell Procedure: Back to the Future

摘要: Urethral stricture repair, irrespective of the underlying etiology, has been a challenge for urologic surgeons decades. However, surgical techniques are continually evolving and overall success rates keep improving. Focusing on bulbar urethroplasty, most common causes in industrialized countries external trauma prior instrumentation. Short urethral strictures measuring <2.0– 2.5 cm length generally repaired by excision end-to-end anastomosis with excellent results. Longer require open substitution which is considered to be gold standard treatment [1]. procedures achieved using non-penile skin, penile skin (flaps or free grafts), bladder buccal mucosa. Although flaps preferable pendulous urethra, authors recommend grafts region [2]. Still under debate question tissue particularly suitable grafts. Alsikafi et al reported an rate 84% (mean follow-up, 201 mo) 87% 48 urethroplasty respectively, without significant difference. Gozzi treated almost 200 patients genital extragenital On other hand, Barbagli favored mucosa approach. In this study was 42 mo), whereas graft had failure 27%; however, mean