Download Advanced Male Urethral and Genital Reconstructive Surgery by Steven B. Brandes MD (auth.), Steven B. Brandes, Allen F. PDF

By Steven B. Brandes MD (auth.), Steven B. Brandes, Allen F. Morey (eds.)

Since the ebook of the 1st version of Urethral Reconstructive Surgery, vital refinements were extra to the urologic surgical armamentarium. broadly revised and up-to-date, Advanced Male Urethral and Genital Reconstructive surgical procedure, moment variation guides urologists in a pragmatic demeanour on easy methods 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 epidermis grafting, Peyronie’s surgical procedure, priapism, pediatric strictures and prosthetics. Such chapters significantly boost the final allure of the publication. the quantity closes with a brand new finished appendix of most popular instruments.

With wide contributions by means of overseas specialists in reconstructive urologic surgical procedure, Advanced Male Urethral and Genital Reconstructive surgical procedure, moment Edition is a useful source for all urologists, from citizens to reconstructive surgeons.

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Example text

The classic radiographic appearance of LS anterior urethral stricture is a saw-toothed pattern. R. H. com Surgical management of LS is primarily by staged urethroplasty. Introduction and Epidemiology Lichen sclerosus is a chronic inflammatory disorder of the skin of unknown origin. No specific mechanism of disease has been elucidated, although substantial advances in characterizing the immunological basis of other disease processes may eventually characterize the pathogenesis of LS. There are several acquired scarring disorders of the skin associated with pathology of the basement membrane, such as mucousmembrane pemphigoid, that may be shown to be related [1].

Philadelphia: Lippincott, Williams and Williams; 2007. 16. Quartey JFM. Microcirculation of penile scrotal skin. Atlas Urol Clin North Am. 1997;5(1):2. 3 Vascular Anatomy of Genital Skin and the Urethra: Implications for Urethral Reconstruction Steven B. Brandes Summary An intimate knowledge of the penile skin blood supply is essential to successfully mobilize and construct a fasciocutaneous onlay flap for “substitution” urethral reconstruction. For successful anastomotic urethroplasty, an intact and adequate dual urethral arterial blood supply is essential.

7 Cross section of the penis (From Quartey [16]) External spermatic f. Vasal a. Vas deferens Pampiniform plexus Epididymal a. Testicular a. B Skin Cremasteric f. Dartos m. Skin Scrotal septum Dartos m. Internal spermatic f. Epididymis Head Tail Scrotal raphe Tunica vaginalis Testis Visceral layer Parietal layer Fig. A. Humphrey 22 The foreskin, or prepuce, is a mixture of skin and mucosa that is basically an extension of the skin of the shaft and normally covers most of the glans, with an inner mucosal surface of the foreskin covering the coronal sulcus and glans surface [1–3].

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