History of urethral surgery: Lessons learnt from the past.

Actas urologicas espanolas Pub Date : 2024-12-19 DOI:10.1016/j.acuroe.2024.12.003

F X Madec, P Neuville, F Chierigo, J Adamowicz, Ł Białek, A Cocci, M Frankiewicz, G Mantica, M Oszczudłowski, E J Redmond, C M Rosenbaum, W Verla, M Waterloos, F Campos-Juanatey, J Klemm, M Vetterlein

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Abstract

Introduction: Although failures are undesirable, they offer valuable learning opportunities that drive progress through necessary changes. This concept holds particularly true in the history of urethral reconstruction.

Methods: A comprehensive literature review was conducted using PubMed, focusing on the history of the urethral stricture and current trends based on national and international guidelines for urethral stricture management.

Results: Urethral strictures are among the oldest known urological conditions, with initial treatments centred around dilatation. These palliative measures proved disappointing. The advent of reconstructive urology has transformed this pathology into a treatable condition, notably through Excision and Primary Anastomosis (EPA) and one-stage augmentation urethroplasty using buccal grafts.

Conclusion: Urethroplasty is the gold standard treatment for urethral strictures, and ongoing refinements aim to further reduce morbidity.

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尿道手术的历史：从过去吸取的教训。

虽然失败是不受欢迎的，但它们提供了宝贵的学习机会，通过必要的改变推动进步。这个概念在尿道重建的历史上尤其正确。方法：结合国内外尿道狭窄治疗指南，在PubMed上进行文献综述，重点分析尿道狭窄的历史和发展趋势。结果：尿道狭窄是已知的最古老的泌尿系统疾病之一，最初的治疗以扩张为中心。事实证明，这些缓和措施令人失望。重建泌尿外科的出现已经将这种病理转变为一种可治疗的疾病，特别是通过切除和初级吻合（EPA）和一期增强尿道成形术使用颊移植物。结论：尿道成形术是尿道狭窄的金标准治疗方法，并不断改进以进一步降低发病率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Actas urologicas espanolas

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