By Petrisor Aurelian Geavlete
Handbook of Endourology comprises 5 centred, review-oriented volumes which are perfect for college kids and clinicians trying to find a finished evaluation instead of a complete direction. each one quantity is definitely obtainable via publication structure. subject matters coated assessment either the endourological prognosis and therapy of prostate, urethral, urinary bladder, top urinary tract, and renal pathology. All chapters describe the latest ideas, evaluate the newest effects, and examine the main smooth applied sciences. some time past ten years, the sector of endourology has accelerated past the urinary tract to incorporate all urologic minimally invasive surgeries. contemporary developments in robot and laparoscopic bladder surgical procedure make this one of many quickest relocating fields in drugs. As present textbooks are too time-consuming for busy urologists or trainees who additionally have to research different components of urology, this assortment offers quickly references and over 4000 pictures which are acceptable for fellows in addition to these educating within the field.
- Offers overview content material for urologists in education and “refresher content material for specialists in endourology
- Explores new surgical thoughts and expertise via review-level content material and wide photographs of pathologies
- Includes over 500 photographs in keeping with quantity; pictures taken from greater than 4000 endourologic tactics played every year on the editor’s hospital
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Example text
Nevertheless, we consider that a medium caliber Foley catheter inserted for a minimum period of time is required for these cases. 2 Periodical Urethral Dilations Periodical urethral dilations after optical urethrotomies are recommended especially in patients with important comorbidities or a low life expectancy, and in those with failed urethroplasties in the past (Naudé and Heyns, 2005). Several alternatives of this method have been proposed: 54 2. , 1999) • hydraulic autodilation (a manual compression on the glans is used to obtain micturition and to obstruct the fossa navicularis and the urethral meatus) (Mkony, 1999) • autodilation using balloon catheters (Levine and Engebrecht, 1997) Hydraulic autodilation has been proposed during the first three to six postoperative months, starting from day 15 after urethrotomy (Lipsky and Hubmer, 1977; Boccon-Gibod and Le Portz, 1982; Pain and Collier, 1984).
26 Long, relapsing stricture of the postbulbar urethra. • Retrograde urethrotomy on a metallic dilator inserted anterogradely. For very short and complete strictures, retrograde urethrotomy may also be guided using a Benique metallic curved dilator. This is passed via the route of the suprapubic cystostomy, through the bladder neck and anterogradely up the urethra, until its distal tip distorts the intraluminal tissue of the stricture. The incision is done in the distorted area, until the metallic dilator is seen.
57). 58). 6 ENDOSCOPIC URETHROPLASTY Endoscopic urethroplasty is a modified optical urethrotomy in which a graft made from different materials is inserted after incision at the site of the stricture to prevent relapse. , 1978), patch 34 2. 31 Cold knife incision with cutting of the spongiofibrosis in its entire depth, until healthy underlying tissue is exposed. 32 Stricture of the proximal bulbar urethra, close to the striated sphincter. 33 Cold knife incision of a stricture of the proximal bulbar urethra, protecting the striated sphincter.