{"id":1163,"date":"2024-01-26T13:13:04","date_gmt":"2024-01-26T13:13:04","guid":{"rendered":"https:\/\/cru.aeu.es\/?p=1163"},"modified":"2024-01-26T13:13:04","modified_gmt":"2024-01-26T13:13:04","slug":"retos-y-soluciones-en-re-estenosis-anterior","status":"publish","type":"post","link":"https:\/\/cru.aeu.es\/?p=1163","title":{"rendered":"RETOS Y SOLUCIONES EN RE-ESTENOSIS ANTERIOR."},"content":{"rendered":"<header id=\"heading\" class=\"heading\">\n<div id=\"full-view-heading\" class=\"full-view\">\n<div class=\"article-citation\">\n<div class=\"article-source\">\n<div class=\"journal-actions dropdown-block\"><button id=\"full-view-journal-trigger\" class=\"journal-actions-trigger trigger\" tabindex=\"0\" title=\"Research and reports in urology\" aria-controls=\"full-view-journal\" aria-expanded=\"false\" aria-label=\"Toggle dropdown menu for journal Research and reports in urology\" data-pinger-ignore=\"\">Res Rep Urol<\/button><\/p>\n<div id=\"full-view-journal\" class=\"journal-actions-dropdown dropdown dropdown-container\" aria-label=\"Dropdown menu for journal Research and reports in urology\" aria-hidden=\"true\">\n<div class=\"title\"><\/div>\n<\/div>\n<\/div>\n<p><span class=\"period\">. <\/span><span class=\"cit\">2021 May 11:13:237-249.<\/span><\/div>\n<p><span class=\"citation-doi\">doi: 10.2147\/RRU.S198792.<\/span><span class=\"secondary-date\">eCollection 2021.<\/span><\/div>\n<h1 class=\"heading-title\">Recurrent Anterior Urethral Stricture: Challenges and Solutions<\/h1>\n<div class=\"inline-authors\">\n<div class=\"authors\">\n<div class=\"authors-list\"><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Mershon+JP&amp;cauthor_id=34012927\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"J Patrick Mershon\">J Patrick Mershon<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"The Ohio State University Department of Urology, Columbus, OH, USA.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34012927\/#full-view-affiliation-1\">1<\/a><\/sup><span class=\"comma\">,\u00a0<\/span><\/span><span class=\"authors-list-item \"><a class=\"full-name\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Baradaran+N&amp;cauthor_id=34012927\" data-ga-category=\"search\" data-ga-action=\"author_link\" data-ga-label=\"Nima Baradaran\">Nima Baradaran<\/a><sup class=\"affiliation-links\"><span class=\"author-sup-separator\">\u00a0<\/span><a class=\"affiliation-link\" title=\"The Ohio State University Department of Urology, Columbus, OH, USA.\" href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/34012927\/#full-view-affiliation-1\">1<\/a><\/sup><\/span><\/div>\n<\/div>\n<\/div>\n<div class=\"short-article-details\">Affiliations <button id=\"toggle-authors\" class=\"more-details\" data-alt-text=\"Collapse\" aria-controls=\"expanded-authors\" aria-expanded=\"false\" data-pinger-ignore=\"\" data-fetch-url=\"\/34012927\/long-authors\/\" data-id-prefix=\"\"><span class=\"title\">expand<\/span><\/button><\/div>\n<ul id=\"full-view-identifiers\" class=\"identifiers\">\n<li><span class=\"identifier pubmed\"><span class=\"id-label\">PMID: <\/span><strong class=\"current-id\" title=\"PubMed ID\">34012927<\/strong><\/span><\/li>\n<li><span class=\"identifier pmc\"><span class=\"id-label\">PMCID: <\/span><a class=\"id-link\" href=\"http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/pmc8128502\/\" target=\"_blank\" rel=\"noopener\" data-ga-category=\"full_text\" data-ga-action=\"PMCID\">PMC8128502<\/a><\/span><\/li>\n<li><span class=\"identifier doi\"><span class=\"id-label\">DOI: <\/span><a class=\"id-link\" href=\"https:\/\/doi.org\/10.2147\/rru.s198792\" target=\"_blank\" rel=\"noopener\" data-ga-category=\"full_text\" data-ga-action=\"DOI\">10.2147\/RRU.S198792<\/a><\/span><\/li>\n<\/ul>\n<p><span class=\"free-label\">Free PMC article<\/span><\/div>\n<\/header>\n<div id=\"abstract\" class=\"abstract\">\n<h2 class=\"title\">Abstract<\/h2>\n<div id=\"eng-abstract\" class=\"abstract-content selected\">\n<p>Recurrent male anterior urethral stricture disease is a complex surgical challenge that should be managed by reconstructive urologists with experience in stricture management. Diagnosis of recurrence requires both anatomic narrowing and patient symptoms identified on validated questionnaires, with limited role for intervention in asymptomatic treatment \u00abfailures\u00bb. Endoscopic management has a very specific role in recurrence, and the choice of technique for urethroplasty depends on pre-operative urethrography and cystoscopy. Surgical success depends on addressing patient concerns, complete stricture excision, tissue quality optimization, and the use of multi-stage repair when indicated. Augmentation with genital skin flaps and\/or grafts is often required, with buccal mucosa as the ideal graft source if local tissue is compromised. Salvage options including urinary diversion and perineal urethrostomy must also be considered in debilitated patients with severe disease or repeated treatment failures. Unique patient populations including patients with hypospadias and lichen sclerosis are among the highest risk for repeated recurrence and require special care in surgical technique, graft selection, and post-operative management.<\/p>\n<\/div>\n<p><strong class=\"sub-title\">Keywords: <\/strong>hypospadias; lichen sclerosis; revision urethroplasty; salvage urethroplasty.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Res Rep Urol . 2021 May 11:13:237-249. doi: 10.2147\/RRU.S198792.eCollection 2021. Recurrent Anterior Urethral Stricture: Challenges and Solutions J Patrick Mershon\u00a01,\u00a0Nima Baradaran\u00a01 Affiliations expand PMID: 34012927 PMCID: PMC8128502 DOI: 10.2147\/RRU.S198792 Free PMC article Abstract Recurrent male anterior urethral stricture disease is &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"more-link\" href=\"https:\/\/cru.aeu.es\/?p=1163\"> <span class=\"screen-reader-text\">RETOS Y SOLUCIONES EN RE-ESTENOSIS ANTERIOR.<\/span> Leer m\u00e1s \u00bb<\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-1163","post","type-post","status-publish","format-standard","hentry","category-adulto-uretra"],"_links":{"self":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/1163","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1163"}],"version-history":[{"count":1,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/1163\/revisions"}],"predecessor-version":[{"id":1164,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=\/wp\/v2\/posts\/1163\/revisions\/1164"}],"wp:attachment":[{"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1163"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1163"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cru.aeu.es\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1163"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}