Abstract
The majority of strictures are treated by intermittent dilatations in order to achieve and maintain an adequate passage through the urethra. Some strictures are resistant to this treatment and call for a more radical therapy. Numerous surgical procedures have been designed with the goal of finding a method which would definitely remove urethral strictures. Strictures of the posterior urethra pose particularly serious problems.
In this paper a surgical procedure is described which corrects strictures of the posterior urethra, based on marsupialization of the stricture by an inlay graft of the scrotal skin and on recontsruction of the urethra in a second stage. The author evaluates his own results in 22 patients and shows the adequacy of a radical solution in patients who are otherwise entirely dependent on life-long treatment by intermittent dilatations or on continuous derivation by cystostomy.
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Hornák, M. Surgical treatment of strictures of the posterior urethra. International Urology and Nephrology 6, 83–90 (1974). https://doi.org/10.1007/BF02082001
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DOI: https://doi.org/10.1007/BF02082001