VIDEO URETHROPLASTY

PENILE URETHROPLASTY

THERE ARE MANY SURGICAL TECHNIQUES WITH OR WITHOUT GRAFTS THAT WE CAN PERFORM TO REPAIR URETHRAL PENILE STRICTURES AND AT THE SAME TIME PERMIT THE AESTHETIC RECONSTRUCTION OF THE GLANS AND THE PENIS. WE WILL SHOW SOME VIDEOS TO EXPLAIN THIS KIND OF THE URETHROPLASTY.

 

FIRST-STAGE PENILE URETHROPLASTY IN STAGED PENILE URETHRAL RECONSTRUCTION
We do a one stage penile urethroplasty when there are bad urethral conditions, which don't permit to do an urethroplasty in only one surgical solution.
Therefore we must perform a staged urethroplasty. The first step is first-stage urethroplasty. After 6 months if the urethral plate is good we can perform the second stage urethroplasty with the closure of the urethral tube and the aesthetic reconstruction of the glans and the penis.

 

1) FIRST-STAGE BUCCAL MUCOSA PENILE URETHROPLASTY open the video
2) REDO OF FIRST-STAGE PENILE URETHROPLASTY WITH BUCCAL MUCOSA open the video


TWO-STAGE PENILE URETHROPLASTY IN STAGED PENILE URETHRAL RECONSTRUCTION
We make the second staged penile urethroplasty 6 month after first penile urethroplasty.
In this second stage we perform the aesthetic reconstruction of the glans and the penis.
Below we perform two simple surgical techniques to do a penile second stage urethroplasty.

 

3) SECOND-STAGE BUCCAL MUCOSA PENILE URETHROPLASTY open the video
4) SECOND-STAGE COMBINED Asopa plus Mathieł PENILE URETHROPLASTY open the video


ONE-STAGE PENILE URETHROPLASTY
When we have good local urethral conditions, we can perform the penile one-stage urethroplasty, with the closure of the urethral tube and the aesthetic reconstruction of the glans and the penis.

 

5)ONE-STAGE BUCCAL MUCOSA PENILE URETHROPLASTY open the video


BULBAR URETHROPLASTY

THERE ARE A LOT OF SURGICAL TECHNIQUES WITH OR WITHOUT GRAFT THAT WE CAN PERFORM TO REPAIR URETHRAL BULBAR STRICTURES.
WE WILL SHOW SOME VIDEOS TO EXPLAIN THIS KIND OF URETHROPLASTIES.

 

FIRST-STAGE BULBAR URETHROPLASTY IN STAGED BULBAR URETHRAL RECONSTRUCTION
We do this kind of urethroplasty when we have bad local urethral conditions, that don't permit to perform urethral bulbar one-stage reconstructions.
We do a staged urethral reconstruction: the first step is the fist-stage urethroplasty.
After 6 months if the urethral plate is good we do the second reconstructive urethroplasty.

 

6) REDO OF PERINEAL URETHROSTOMY open the video
7) PERINEAL URETHROSTOMY open the video
8) PERINEAL URETHROSTOMY AFTER FAILED HYPOSPADIA open the video


ONE-STAGE BULBAR URETHROPLASTY
If we have good local urethral conditions, we can perform a one-stage reconstruction.
Below we will show some surgical techniques with buccal mucosa grafts or with acellular matrix (S.I.S.) grafts.

 

9) VENTRAL ONLAY BUCCAL MUCOSA GRAFT IN BULBAR URETHRAL RECONSTRUCTION

 

open the video

10) COMBINED DORSAL PLUS VENTRAL DOUBLE BUCCAL MUCOSA GRAFT IN BULBAR URETHRAL RECONSTRUCTION
(This particular new technique was performed for the first time by Dr. Palminteri : the original article is in the process of being released in the European Urology)

 

open the video
11) VENTRAL GRAFT BULBAR URETHROPLASTY USING Small Intestinal Submucosa (S.I.S.)
(This acellular matrix S.I.S. has been used in urological surgery, and for urethroplasty. Dr. Palminteri has used the S.I.S. for urethroplasty. The original article appeared in European Urology 2007: 51, 1695-1701)
open the video


GLANS RESURFACING

SOME PENILE PATHOLOGIES (SEVERE ZOON'S BALANITIS, GLANS DISPLASIA, PENILE SUPERFICIAL CANCER) CAUSE A SENSE OF BURNING AND PREVENT THE SEXUAL ACTIVITY.
IN SELECTED CASES, THIS NEW TECHNIQUE OF AESTHETIC GLANS RECONSTRUCTION IS A GOOD SOLUTION.

 

12) GLANS RESURFACING AND RECONSTRUCTION AFTER RESECTION OF BENIGNANT OR MALIGNANT LESIONS OF THE PENIS
[Original article : European Urology 52 (2007) 893-900 ]
open the video


BUCCAL MUCOSA HARVESTING

NOWADAYS THE BUCCAL MUCOSA GRAFT IS THE MOST COMMON TESSUE FOR URETHRAL RECONSTRUCTIONS.
THE VIDEO SHOWS THE CORRECT BUCCAL MUCOSA HARVESTING.

 

13) STANDARD OF BUCCAL MUCOSA HARVESTING open the video