By Steven B. Brandes MD (auth.), Steven B. Brandes, Allen F. Morey (eds.)
Since the booklet of the 1st variation of Urethral Reconstructive Surgery, vital refinements were additional to the urologic surgical armamentarium. commonly revised and up to date, Advanced Male Urethral and Genital Reconstructive surgical procedure, moment variation guides urologists in a realistic demeanour on find out how to assessment and deal with complicated urethral and male genital reconstructive demanding situations. Chapters were extra on wound therapeutic, synchronous urethral strictures, non-transecting anastomotic urethroplasty (including muscle and vessel sparing), overlapping buccal grafts, male urethral slings, genital dermis grafting, Peyronie’s surgical procedure, priapism, pediatric strictures and prosthetics. Such chapters tremendously increase the final charm of the booklet. the quantity closes with a brand new entire appendix of most well-liked instruments.
With large contributions through foreign specialists in reconstructive urologic surgical procedure, Advanced Male Urethral and Genital Reconstructive surgical procedure, moment Edition is a worthy source for all urologists, from citizens to reconstructive surgeons.
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Additional info for Advanced Male Urethral and Genital Reconstructive Surgery
It is characterized by papules/nodules, indurated plaques, and sometimes ulcerated lesions involving primarily the skin and mucous membranes. However, there is no genital involvement in lipoid proteinosis, which also does not carry the potential for malignant conversion; therefore, the presence of ECM1 autoantibodies cannot explain all the pathophysiological features of LS . It has been suggested that genital lichen sclerosus would be the result of chronic, intermittent exposure of susceptible epithelium to urine by Koebnerization under occlusion .
In the past, the male genital involvement with lichen sclerosus was called balanitis xerotica obliterans (BXO), and much of the older literature reflects that previous designation. Any area of the skin may be involved; however, the prevalence of involvement of the genitalia in the male and female is estimated to be 85–98 % of total cases . LS is believed to possibly be premalignant. The incidence of squamous cell carcinoma associated with vulvar lichen sclerosus averages between 4 and 6 % .
Jordan and Colen  suggest that patients who lack adequate bipedal blood supply of the urethra should be considered for penile revascularization before posterior urethroplasty. An algorithm for evaluating and managing patients at risk for ischemic necrosis is detailed in Fig. 12. When possible, a bilateral end-to-side anastomosis of the inferior epigastric artery to dorsal penile artery should be performed (Fig. 13). Impotent patients with bilateral pudendal complex injury with distal reconstitution also may have insufficient blood flow not allowing for normal erections .
Advanced Male Urethral and Genital Reconstructive Surgery by Steven B. Brandes MD (auth.), Steven B. Brandes, Allen F. Morey (eds.)