AUA: Male Urethral Stricture (2016): Difference between revisions

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 * '''May be offered as a long term treatment option to patients as an alternative to urethroplasty.'''
-===== Indications (6): =====
+* '''Indications (6):'''
 # '''<span style="color:#ff0000">Recurrent or primary complex anterior stricture</span>'''
 # '''<span style="color:#ff0000">Numerous failed attempts at urethroplasty</span>'''
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 === Urethroplasty Technical Considerations ===
-* '''Oral mucosa should be used as the first choice when using grafts for urethroplasty.'''
+* '''Grafts for substitution urethroplasty'''
-** '''Oral mucosa may be harvested from the'''
+**'''Oral mucosa'''
-**#'''Inner cheeks,''' which provide the largest graft area,
+***'''Should be used as the first choice'''
-**#'''Undersurface of the tongue'''
+*** '''May be harvested from the'''
-**#'''Inner lower lip'''
+***#'''Inner cheeks'''
-**#* '''Harvest of buccal mucosa from the inner cheek results in fewer complications and better outcomes as compared to a lower lip donor site.'''
+***##Provide the largest graft area
-**#* When harvesting buccal mucosa from the inner cheek, the donor site may safely be left open to heal by secondary intention or closed primarily.
+***##Results in fewer complications and better outcomes as compared to a lower lip donor site
-** Hair-bearing skin should not be used for substitution urethroplasty.
+***##When harvesting buccal mucosa from the inner cheek, the donor site may safely be left open to heal by secondary intention or closed primarily
-** Substitution urethroplasty should not be performed with allograft, xenograft, or synthetic materials except under experimental protocols.
+***#'''Undersurface of the tongue'''
+***#'''Inner lower lip'''
+**'''Should not be performed with hair-bearing skin'''
+**Should not be performed with allograft, xenograft, or synthetic materials except under experimental protocols
 * '''A single-stage tubularized graft urethroplasty should not be performed'''.
 ** Tubularized urethroplasty consists of a technique in which a graft or flap is rolled into a tube over a catheter to completely replace a segment of urethra. This approach, when attempted in a single stage, has a high risk of restenosis and should be avoided.