Treatment of anastomotic strictures after phalloplasty: An up-to-date review of the literature

被引：0

作者：

Verla, W. ^{[1
]}

Lumen, N. ^{[1
]}

Waterloos, M. ^{[1
,2
]}

Adamowicz, J. ^{[3
]}

Campos-Juanatey, F. ^{[4
]}

Cocci, A. ^{[5
]}

Frankiewicz, M. ^{[6
]}

Mantica, G. ^{[7
]}

Rosenbaum, C. ^{[8
]}

Madec, F. X. ^{[9
]}

Redmond, E. ^{[10
]}

Bialek, L. ^{[11
]}

Chierigo, F. ^{[12
]}

Oszczudlowski, M. ^{[11
]}

Vetterlein, M. ^{[13
]}

机构：

[1] Hosp Univ Gante, Serv Urol, Gante, Belgium

[2] AZ Maria Middelares, Serv Urol, Gante, Belgium

[3] Univ Nicolaus Copernicus, Fac Med, Dept Med Regenerat, Bydgoszcz, Poland

[4] Univ Cantabria, Hosp Univ Marques Valdecilla, Unidad Androl & Cirugia Reconstruct, Fac Med,Inst Invest Valdecilla IDIVAL, Santander, Spain

[5] Univ Florencia, Dept Fisiopatol Clin, Unidad Androl, Florencia, Italy

[6] Univ Med Gdansk, Dept Urol, Gdansk, Poland

[7] DIBRIS Univ Genova, Dept Ciencias Quirurg & Diagnost Integradas DISC, Genoa, Italy

[8] Asklepios Hosp Barmbek, Dept Urol, Hamburg, Germany

[9] Hosp Foch, Serv Urol, Suresnes, France

[10] Cork Univ Hosp, Cork, Ireland

[11] Univ Varsov, Inst Estudos Ibericos & Iberoamer, Warsaw, Poland

[12] IRCCS San Martino Policlin Hosp, Genoa, Italy

[13] Univ Med Ctr Hamburg Eppendorf, Dept Urol, Hamburg, Germany

来源：

ACTAS UROLOGICAS ESPANOLAS | 2025年 / 49卷 / 01期

关键词：

Phalloplasty; Urethral stricture; Urethral stenosis; Urethroplasty; Urethrotomy; EUROPEAN ASSOCIATION; URETHRAL STRICTURES; UROLOGY GUIDELINES; MANAGEMENT; DISEASE;

D O I：

10.1016/j.acuroe.2024.11.001

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Introduction: Neo-urethral stricture formation frequently occurs after phalloplasty and most commonly affects the anastomosis between the fixed and phallic part of the neo-urethra. This narrative review gives an overview of the existing literature on how to treat these particular strictures. Methods: This narrative review is based on a literature search conducted in June 2024. No restrictions in terms of publication date, language or sample size were applied. Results: Treatment options include direct vision internal urethrotomy, anastomotic repair urethroplasty, augmentation urethroplasty with grafts or flaps, multi-stage urethroplasty and urethrostomy. Overall, outcomes of these treatments are worse in transmen than in cismen, mainly due to the specific challenges posed by the neophallus environment. Generally, limited data are available on the treatment options for patients with anastomotic strictures after phalloplasty and, consequently, no clear recommendations can be made. Conclusion: This narrative review provides a comprehensive and up-to-date overview of the available literature, which may guide future research and help optimize the outcomes for patients with this complex problem after phalloplasty. (c) 2024 AEU. Published by Elsevier Espana, S.L.U. All rights are reserved, including those for text and data mining, AI training, and similar technologies.

引用

页码：35 / 41

页数：7

共 13 条

[1] Surgical techniques of phalloplasty in transgender patients: a systematic review [J].