Urethral 'cripples': two-staged procedures

Curr Opin Urol. 2012 Nov;22(6):484-6. doi: 10.1097/MOU.0b013e328357bc8b.

Abstract

Purpose of review: To review the current literature on staged procedures in patients with previous urethral interventions ('urethral cripples').

Recent findings: Five studies published during the past 18 months could be identified, the majority with short-term follow-up and small patient numbers. Four studies investigated the outcome after redo surgery in hypospadias patients, one study after urethral stricture disease.

Summary: The few data published suggest acceptable complication rate and success rate for surgical outcome. Long-term and prospective data with special respect to sexual function, patient satisfaction, and quality of life are still lacking.

Publication types

  • Review

MeSH terms

  • Humans
  • Hypospadias / physiopathology
  • Hypospadias / psychology
  • Hypospadias / surgery*
  • Male
  • Patient Satisfaction
  • Plastic Surgery Procedures / adverse effects*
  • Quality of Life
  • Recovery of Function
  • Reoperation
  • Sexual Behavior
  • Sexual Dysfunction, Physiological / etiology
  • Sexual Dysfunction, Physiological / physiopathology
  • Time Factors
  • Treatment Outcome
  • Urethra / physiopathology
  • Urethra / surgery*
  • Urethral Stricture / physiopathology
  • Urethral Stricture / psychology
  • Urethral Stricture / surgery*
  • Urologic Surgical Procedures, Male / adverse effects*