Reconstructive Urethral Surgery von G H Jordan/F Schreiter

This textbook seeks to determine the current state-of-the-art of reconstructive urethral surgery and to identify new trends in this subspecialty of reconstructive urology. To this end, inter- tionally known experts and opinion leaders in the field were invited to Hamburg, Germany to discuss and demonstrate todays commonly used surgical techniques. Dialogues that took place during this convention, held in the spring of 2001 at the General Hospital in Hamburg-Harburg, are presented in book chapter format in this volume. The text is rounded out by live recordings of the most important of the surgical procedures. (DVD included with this compendium. ) Our desire was to publish, in close collaboration with Springer, a surgical textbook that p- sents the most important basic and modern techniques in urethral surgery. These techniques are underscored with simple and instructive drawings and »live surgery« video clips. We consciously chose not to make the text an all-inclusive surgical text. Thus the techniques included reflect a deliberate subjective selection on the part of the editors. We focused on the »renaissance« of graft techniques. Much of the material is concentrated on buccal mucosal and preputial grafts Two-stage surgical techniques, particularly for complex cases or patients who have undergone multiple previous operations, are also included. This book is written for all urologists.

Fundamentals.- Historical Highlights in the Development of Urethral Surgery.- Anatomy and Blood Supply of the Urethra and Penis.- Fundamentals and Principles of Tissue Transfer.- Tissue Engineering The Future of Urethral Reconstructive Surgery?.- Hypospadia Repair: The Past and the Present Also the Future?.- Urethral Reconstruction in Women.- A Current Overview of the Treatment of Urethral Strictures: Etiology, Epidemiology, Pathophysiology, Classification, and Principles of Repair.- Therapy, Principles.- The Acute Posterior Urethral Injury.- The Endoscopic Treatment of Post-Traumatic Membranous Urethral Strictures.- Endoscopic Realignment of Post-Traumatic Membranous Urethral Disruption.- The Role of Bouginage, Visual Urethrotomy, and Stents Today.- Alternative Endourological Techniques in the Treatment of Urethral Strictures Review of the Current Literature.- One-Stage Procedures.- Reconstruction of the Bulbar and Membranous Urethra.- The Sagittal Posterior (Transcoccygeal Transrectal Transsphincteric) Approach for Reconstruction of the Posterior Urethra.- The Use of Flaps in Urethral Reconstructive Surgery.- Reconstruction of the Fossa Navicularis.- Penile Circular Fasciocutaneous Flaps for Complex Anterior Urethral Strictures.- Selective Use of the Perineal Artery Fasciocutaneous Flap (Singapore) in Urethral Reconstruction.- Anterior Urethral Stricture Repair and Reconstruction in Hypospadias Cripples.- The Use of Free Grafts for Urethroplasty.- Repair of Bulbar Urethra Using the Barbagli Technique.- Indications and Limitations of Buccal Mucosa Reconstructive Urethral Surgery in Hypospadias Repair.- Indications and Limits for the Use of Buccal Mucosa for Urethral Reconstruction.- Two-Stage Procedures.- Two-Stage Mesh-graft Urethroplasty.

Funktionsweise E-Books.