Download Advanced Male Urethral and Genital Reconstructive Surgery by Steven B. Brandes MD (auth.), Steven B. Brandes, Allen F. PDF

By Steven B. Brandes MD (auth.), Steven B. Brandes, Allen F. Morey (eds.)

ISBN-10: 1461477077

ISBN-13: 9781461477075

Since the e-book of the 1st version of Urethral Reconstructive Surgery, very important refinements were further to the urologic surgical armamentarium. commonly revised and up-to-date, Advanced Male Urethral and Genital Reconstructive surgical procedure, moment variation guides urologists in a pragmatic demeanour on the best way to review and deal with complicated urethral and male genital reconstructive demanding situations. Chapters were further on wound therapeutic, synchronous urethral strictures, non-transecting anastomotic urethroplasty (including muscle and vessel sparing), overlapping buccal grafts, male urethral slings, genital epidermis grafting, Peyronie’s surgical procedure, priapism, pediatric strictures and prosthetics. Such chapters significantly improve the general charm of the ebook. the quantity closes with a brand new complete appendix of most well liked instruments.

With extensive contributions by means of overseas professionals in reconstructive urologic surgical procedure, Advanced Male Urethral and Genital Reconstructive surgical procedure, moment Edition is a worthy source for all urologists, from citizens to reconstructive surgeons.

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Extra resources for Advanced Male Urethral and Genital Reconstructive Surgery

Example text

When one develops a fasciocutaneous penile skin island flap of genital skin, as one does with an Orandi (vertical flap) or a McAninch/Quartey (circular transverse) flap, we take advantage of the natural anatomical cleavage planes of the superficial layers of the penis. B. F. B. Brandes Fig. 1 The relative areas of arborization of the superficial external pudendal artery and the perineal/labial–scrotal arborization. Crosshatched area is based predominantly on the superficial external pudendal artery.

Jordan and Colen [4] suggest that patients who lack adequate bipedal blood supply of the urethra should be considered for penile revascularization before posterior urethroplasty. An algorithm for evaluating and managing patients at risk for ischemic necrosis is detailed in Fig. 12. When possible, a bilateral end-to-side anastomosis of the inferior epigastric artery to dorsal penile artery should be performed (Fig. 13). Impotent patients with bilateral pudendal complex injury with distal reconstitution also may have insufficient blood flow not allowing for normal erections [6].

Steven B. Brandes 23 References 1. Velasquez EF, Barreto JE, Cold CJ, Cubilla AL, et al. Penis and distal urethra. In: Mills SE, editor. Histology for pathologists, vol. 3. Philadelphia: Lippincott Williams and Wilkins; 2007. p. 983–97. 2. Young RH, Srigley JR, Amin MB, Ulbright TM, Cubilla AL. The male urethra. In: Tumors of the prostate gland. Seminal vesicles, male urethra and penis. Washington, DC: Armed Forces Institute of Pathology; 2000. p. 367–402. 3. Epstein JI, Cubilla AL, Humphrey PA.

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