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Penile urethroplasty: Techniques and outcomes using buccal mucosa grafts
The proper urethroplasty technique for repair of complicated penile strictures should respect the status of penile tissue, be based on proper anatomic characteristics of penile tissues, avoid interference with the neurovascular supply to the penis, and not compromise penile length or untowardly affect its appearance. The authors describe their techniques?based on these criteria?for single-stage and multistage penile urethroplasty with buccal mucosa grafts and review their outcomes.
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A 65-year old man with hematuria
A 65-year-old man presented with a 2-month history of hematuria and nocturia. Cystoscopic examination revealed an ill-defined area of nodularity at the bladder neck. A biopsy was obtained.
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Surgeon's Corner
Electrothermal bipolar vessel sealer facilitates simple retropubic prostatectomy. We recently introduced the use of an electrothermal bipolar vessel sealer (LigaSure, Valleylab, Boulder, Colo) in patients undergoing retropubic prostatectomy. This has allowed us to modify our surgical technique, has improved visualization, and has decreased both operative time and blood loss.
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Sacral neuromodulation: State-of-the-art strategies and troubleshooting techniques
Is bilateral stimulation more effective than unilateral lead placement? What should be done for patients who report pain at the lead site? How can I reduce the risk of stage 1 complications? The authors offer state-of-the-art advice on these and other issues affecting patients undergoing this minimally invasive treatment for lower urinary tract dysfunctions.
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