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  • 1
    In: Current Opinion in Urology, 2012, Vol.22(6), pp.445-446
    Keywords: Reconstructive Surgical Procedures ; Urologic Surgical Procedures ; Ureter -- Surgery ; Urethral Stricture -- Surgery ; Urogenital Abnormalities -- Surgery;
    ISSN: 0963-0643
    E-ISSN: 14736586
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  • 2
    In: BJU International, January 2012, Vol.109(1), pp.150-162
    Description: To authenticate to the full-text of this article, please visit this link: http://dx.doi.org/10.1111/j.1464-410X.2011.10842.x Byline: Silke Riechardt (*), Margit Fisch (*) Author Affiliation: (*)Department of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany Article note: Dr Silke Riechardt, Department of Urology, University Medical Center Hamburg-Eppendorf, Martinistra[sz]e 52, 20246 Hamburg, Germany. e-mail: s.riechardt@uke.de
    Keywords: Surgery;
    ISSN: 1464-4096
    E-ISSN: 1464-410X
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  • 3
    Language: English
    In: The Journal of Urology, April 2013, Vol.189(4), pp.e153-e153
    Keywords: Medicine
    ISSN: 0022-5347
    E-ISSN: 1527-3792
    Source: ScienceDirect Journals (Elsevier)
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  • 4
    In: BJU International, March 2013, Vol.111(3b), pp.E132-E136
    Description: UNLABELLED: What's known on the subject? and What does the study add? Urethral strictures can be treated by various methods, e.g. dilatation and endoscopic treatment, as well as with open surgery. However, transurethral treatment shows low long-time success rates, while open urethral reconstruction yields good long-term results. One of the standard procedures to reconstruct the strictured penile urethra is the Barbagli technique, which was introduced in 1996. However, a potential drawback of this technique is the suturing of the urethral margins to the second side of the graft, because the buccal mucosa is already fixed to the corpus cavernosum and the last line is sutured in the back side of the urethra out of sight. The present study aims to assess whether the functional results are compromised by a modified Barbagli technique, which enables a better visualisation of the mucosal margins while making the anastomosis, simplifying the original technique.OBJECTIVE: To evaluate stricture recurrence rate as well as the satisfaction with the surgery of patients treated with a modified Barbagli technique published by our study group in 2009.PATIENTS AND METHODS: Retrospective analysis by patient's chart review and unvalidated standardised questionnaire of patients treated by the modified Barbagli technique for urethral stricture between May 2008 and September 2010. In all, 22 patients were treated with the modified Barbagli technique for urethral stricture during this time, and 18 patients were available for follow-up. Previous surgeries, recurrence rate, complications, incontinence, erectile function, satisfaction with the surgery, and oral numbness were assessed. As described in the original technique, also in the modified technique the access to the urethra is achieved through a midline incision. Subsequently, the urethra is completely mobilised. However, it is then rotated 180 ° using stay sutures. Afterwards, the buccal mucosa is sutured into the opened urethra on both sides under vision, giving free access to the margins. Once the buccal mucosa is completely sutured in, the urethra is back-rotated using stay sutures and the margin of the buccal mucosa and the urethra is sutured to the tunica albuginea, stretching and supporting the buccal mucosa.RESULTS: Follow-up was available for 18 patients with a mean (range) age of 67.5 (27-74) years. Open previous surgeries had been performed in 27.8% and transurethral surgeries in 72.2%. The mean (range) length of the oral mucosa graft was 7.8 (2.5-13) cm and the mean operative duration was 106 (73-193) min. The success rate was 83.2%; there was no de novo erectile dysfunction and no relevant penile curvature. There was oral numbness in two patients (9%). None of the recurrence-free patients (83.3%) were dissatisfied with the surgery.CONCLUSIONS: The technique simplifies the original technique without compromising the functional results. The modification of the technique enables a better visualisation of the mucosal margins while making the anastomosis, simplifying the original technique. The success rate was comparable with the original technique and patient satisfaction with the surgery was high.
    Keywords: Urethroplasty ; Urethral Stricture ; Buccal Mucosa
    ISSN: 1464-4096
    E-ISSN: 1464-410X
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  • 5
    Article
    Article
    In: Current Opinion in Urology, 2011, Vol.21(6), pp.447-448
    Keywords: Medicine;
    ISSN: 0963-0643
    E-ISSN: 14736586
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  • 6
    Language: English
    In: BJU International, April, 2007, Vol.99(4), p.945(16)
    Description: To purchase or authenticate to the full-text of this article, please visit this link: http://dx.doi.org/10.1111/j.1464-410X.2007.06810.x Byline: Margit Fisch, Rudolf Hohenfellner Article note: Margit Fisch, Department of Urology, Asklepios Klinik Harburg, Eissendorfer Pferdeweg 52, 21075 Hamburg, Germany. e-mail: kiuroharburg@gmx.de
    ISSN: 1464-4096
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  • 7
    Language: English
    In: BJU international, April 2014, Vol.113(4), pp.568-73
    Description: To assess fistula recurrence rate and health-related quality of life (HRQL) after repair, as well as the impact on continence and erection in patients with recto-anastomotic fistula after radical prostatectomy (RP). In recent publications, the numbers of cases of recto-urinary fistulae after RP are relatively small. Success rates at fistula closure are good; however, data about functional outcomes and HRQL are more restricted. A retrospective study of patients treated for recto-urethral fistulae after RP between 1993 and 2008. All 17 patients were assessed for fistula recurrence in 2007 and received a standardised non-validated questionnaire to assess HRQL in 2011; furthermore, a patient's chart review was performed. fistula closure was abdominal in 10 patients, perineal in five and combined abdominal and perineal in two, some with tissue interposition. In 2007, follow-up was available for 14 patients, one was deceased and two were lost to follow-up. The mean follow-up was 73.3 months and the mean patient age was 63 years. In two of the 17 patients, rectal injury during the initial surgery was reported; another three had undergone adjuvant radiation therapy (18%). In 2011, another two patients were deceased; the mean (range) follow-up was 99.5 (44-184) months. There was a great improvement in HRQL as compared with before surgery in seven of the 12 evaluable patients, a slight improvement in one and no change in three. In all, eight of the 12 patients were very satisfied with the surgery and four were satisfied. Perineal or abdominal fistula repair yields excellent success rates and high patient satisfaction. However, urinary incontinence can be found in some patients postoperatively, requiring further treatment.
    Keywords: Fistula ; Prostate Cancer ; Reconstruction ; Urorectal Fistula Repair ; Prostatectomy -- Adverse Effects ; Prostatic Neoplasms -- Surgery ; Rectal Fistula -- Surgery ; Urethral Diseases -- Surgery ; Urinary Fistula -- Surgery
    ISSN: 14644096
    E-ISSN: 1464-410X
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  • 8
    Language: English
    In: Urology, March 2014, Vol.83(3), pp.S71-S73
    Description: A literature search was made through PubMed from 1990 to the present for articles on strictures in children. There were 32 articles that provided the data for this review. The studies were rated according to the level of evidence and the grade of recommendation using the International Consultations in Urologic Disease standards.
    Keywords: Medicine
    ISSN: 0090-4295
    E-ISSN: 1527-9995
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  • 9
    Language: English
    In: The Journal of Urology, April 2012, Vol.187(4), pp.e481-e482
    Keywords: Medicine
    ISSN: 0022-5347
    E-ISSN: 1527-3792
    Source: ScienceDirect Journals (Elsevier)
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  • 10
    Language: English
    In: The Journal of Urology, April 2014, Vol.191(4), pp.e22-e22
    Keywords: Medicine
    ISSN: 0022-5347
    E-ISSN: 1527-3792
    Source: ScienceDirect Journals (Elsevier)
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