Two-Stage Transperineal Management of Posterior Urethral Strictures or Bladder Neck Contractures Associated with Urinary Incontinence after Prostate Surgery.

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Two-Stage Transperineal Management of Posterior Urethral Strictures or Bladder Neck Contractures Associated with Urinary Incontinence after Prostate Surgery and Endoscopic Treatment Failures  Alchiede Simonato, Andrea Gregori, Andrea Lissiani, Giorgio Carmignani  European Urology  Volume 52, Issue 5, Pages 1499-1504 (November 2007) DOI: 10.1016/j.eururo.2007.03.053 Copyright © 2007 European Association of Urology Terms and Conditions

Fig. 1 (A) Interrupted 3-0 polygalactic acid sutures placed on the mucosal edge of the proximal urethra, close to the bladder neck; (B) end-to-end tension-free anastomosis. Arrow, bladder neck and proximal prostatic urethra; arrowhead, corporal bodies; dot, anterior urethra; asterisk, levator ani muscle. European Urology 2007 52, 1499-1504DOI: (10.1016/j.eururo.2007.03.053) Copyright © 2007 European Association of Urology Terms and Conditions

Fig. 2 (A) Landmark suture placed in the previous operation; (B) cuff of the urinary sphincter placed around the urethra. Asterisk, urethra; arrowhead, left corporal body. European Urology 2007 52, 1499-1504DOI: (10.1016/j.eururo.2007.03.053) Copyright © 2007 European Association of Urology Terms and Conditions

Fig. 3 Postoperative urethrogram in a patient with a type II prostatic plus membranous urethral stricture; (A) retrograde urethrogram; (B) voiding urethrogram. Asterisk, cuff of the artificial sphincter; arrow, site of urethro-prostatic anastomosis. European Urology 2007 52, 1499-1504DOI: (10.1016/j.eururo.2007.03.053) Copyright © 2007 European Association of Urology Terms and Conditions