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Chongrui Jin - One of the best experts on this subject based on the ideXlab platform.
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staged pendulous prostatic anastomotic urethroplasty followed by reconstruction of the anterior urethra an effective treatment for long segment bulbar and membranous urethral stricture
European Urology, 2007Co-Authors: Sanbao Jin, Juan Zhang, Yong Chen, Chongrui JinAbstract:Abstract Objectives To describe a novel surgical technique for male long-segment urethral stricture after pelvic trauma using the intact and pedicled pendulous urethra to replace the bulbar and membranous urethra, followed by reconstruction of the anterior urethra. Methods Two patients with long-segment post-traumatic bulbar and membranous urethral strictures with short left pendulous urethras who had undergone several failed previous surgeries were treated with staged pendulous-prostatic anastomotic urethroplasty followed by reconstruction of the anterior urethra. This procedure was divided into three stages. First-stage surgery was mobilization of the anterior urethra down to the Coronary Sulcus and then rerouted to the prostatic urethra followed by pendulous-prostatic anastomotic urethroplasty with transposition of the penis to the perineum. Second-stage surgery was transecting the anterior urethra at the revascularised Coronary Sulcus 6 mo later, followed by straightening of the penis and urethroperineostomy. Third-stage surgery was reconstruction of the anterior urethra 6 mo later. Results Postoperatively, the two patients reported satisfactory voiding. For patient 1, retrograde urethrography showed that the urethra was patent, and that the mean maximal flow rate (MFR) was 18.4ml/s with no postvoiding residual urine after the third-stage surgery and at 3-yr follow-up. For patient 2, a 22F urethral catheter could pass smoothly through the urethra, and the MFR was 19.5ml/s with no postvoiding residual urine at 2-yr follow-up. Conclusions This procedure was an effective surgical option for men with complex long-segment post-traumatic bulbar and membranous urethral strictures, especially for those who had undergone failed previous surgical treatments.
Sanbao Jin - One of the best experts on this subject based on the ideXlab platform.
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Repair of urethrocutaneous fistulas secondary to urethroplasty: a retrospective study of 54 cases
Chinese Journal of Urology, 2014Co-Authors: Sanbao Jin, Jiong Zhang, Hong Xie, Ren-jie CuiAbstract:Objective To investigate the correlation between the size,location,number of urethrocutaneous fistulas (UCF) and the effect of urethroplasty,and to study the reference in the choice of surgery methods of UCF and also to compare the prognosis of different treatment protocols.Methods Clinical data of 54 cases of UCF after urethroplasty of hypospadias and urethral stricture from 2003 to 2011 were collected.Simple suture,advancement skin flap,pedicle penile skin flap urethroplasty,oral mucosa urethroplasty were performed according to the size,location,number and whether there is urethral stricture of UCF.The effect of the operation was followed up and Chi-square analysis was used to analyze the data.Results The overall success rate of UCF repair was 85％ (46/54),while there were 4 patients cured after second surgery,and there were 2 cases lost of follow-up after the failure of the second surgery.In all these patients,the success rate of UCF in the Coronary Sulcus,the penis,the junction of penis and scrotum,the perineum and the scrotum was 100％ (6/6),84％ (26/31),86％ (6/7) and 80％ (8/10).The success rate of UCF of single fistula and several fistulas was 89％ (40/45) and 67％ (6/9).The success rate of UCF of small fistula and large fistula was 89％ (39/44) and 70％ (7/10).Conclusions According to the principle and the individual situation such as different fistulas and surrounding skin,personalized operative methods may improve the success rate of the repair of UCF.At the same time,there is a significant improvement in recurrence rates with the use of the interposition waterproofing layer of subcutaneous tissue and fascia. Key words: Urethrocutaneous fistula ; Urethroplasty ; Surgery
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staged pendulous prostatic anastomotic urethroplasty followed by reconstruction of the anterior urethra an effective treatment for long segment bulbar and membranous urethral stricture
European Urology, 2007Co-Authors: Sanbao Jin, Juan Zhang, Yong Chen, Chongrui JinAbstract:Abstract Objectives To describe a novel surgical technique for male long-segment urethral stricture after pelvic trauma using the intact and pedicled pendulous urethra to replace the bulbar and membranous urethra, followed by reconstruction of the anterior urethra. Methods Two patients with long-segment post-traumatic bulbar and membranous urethral strictures with short left pendulous urethras who had undergone several failed previous surgeries were treated with staged pendulous-prostatic anastomotic urethroplasty followed by reconstruction of the anterior urethra. This procedure was divided into three stages. First-stage surgery was mobilization of the anterior urethra down to the Coronary Sulcus and then rerouted to the prostatic urethra followed by pendulous-prostatic anastomotic urethroplasty with transposition of the penis to the perineum. Second-stage surgery was transecting the anterior urethra at the revascularised Coronary Sulcus 6 mo later, followed by straightening of the penis and urethroperineostomy. Third-stage surgery was reconstruction of the anterior urethra 6 mo later. Results Postoperatively, the two patients reported satisfactory voiding. For patient 1, retrograde urethrography showed that the urethra was patent, and that the mean maximal flow rate (MFR) was 18.4ml/s with no postvoiding residual urine after the third-stage surgery and at 3-yr follow-up. For patient 2, a 22F urethral catheter could pass smoothly through the urethra, and the MFR was 19.5ml/s with no postvoiding residual urine at 2-yr follow-up. Conclusions This procedure was an effective surgical option for men with complex long-segment post-traumatic bulbar and membranous urethral strictures, especially for those who had undergone failed previous surgical treatments.
Gong Cheng - One of the best experts on this subject based on the ideXlab platform.
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Glans-Preserving Surgery for Superficial Penile Cancer
Journal of andrology, 2011Co-Authors: Ninghong Song, Zengjun Wang, Lixin Hua, Changjun Yin, Wei Zhang, Gong ChengAbstract:In this study, we investigated the safety and feasibility of glans-preserving surgery for superficial penile squamous cell carcinoma. Young patients with penile primary tumors exhibiting favorable histologic features were best suited for organ-sparing procedures, enabling them to avoid sexual disturbances. The study included 12 patients, 38-53 years of age (median age 46 years), with superficial lesions involving the glans penis, Coronary Sulcus, or shaft skin. After clinical staging and grading, those patients were offered a glans-preserving procedure to preserve the normal appearance and functional integrity of the glans penis. Of the 12 patients referred, the tumors were TaG1 in 4 patients, TaG2 in 3, TisG1 in 1, TisG2 in 1, T1G1 in 2, and T1G2 in 1. All patients returned to normal sexual activity 1 month postoperatively. Sexual function and sexual satisfaction were well maintained after surgery. The cosmetic results were considered satisfying/very satisfying by 83% (10 of 12 patients). Follow-up data were available on 12 patients at a mean follow-up of 62.5 months. Only 1 patient had recurrence 6 months after surgery, which was managed by a second glans-preserving surgery without recurrence. With careful patient selection and vigilant follow-up, anatomically suitable superficial penile cancer can be offered this glans-preserving surgery, while preserving function of the penis wherever possible.
Ninghong Song - One of the best experts on this subject based on the ideXlab platform.
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Glans-preserving surgery for superficial penile cancer
Zhonghua nan ke xue = National journal of andrology, 2012Co-Authors: Ninghong Song, Zengjun Wang, Jie Yang, Pengfei Shao, Lixin Hua, Changjun YinAbstract:OBJECTIVE To investigate the safety and feasibility of glans-preserving surgery in the treatment of superficial penile cancer (SPCa). METHODS We retrospectively analyzed the clinical data of 21 cases of SPCa treated by glans-preserving surgery in our hospital from January of 2003 to March of 2010. RESULTS The study included 21 SPCa patients aged 36 to 57 (mean 46) years, with superficial lesions involving the glans penis, Coronary Sulcus or shaft skin. The tumors were staged and graded TaG1 in 6 cases, TaG2 in 5, TisG1 in 2, TisG2 in 4, T1G1 in 3, and T1G2 in 1. All the patients underwent glans-preserving surgery to preserve the normal appearance and functional integrity of the glans penis, and all returned to normal sexual activity 1 month after operation, with good sexual function and sexual satisfaction. Postoperative follow-up lasted 2 to 7 (mean 5) years, and 2 cases of recurrence in situ found at 6 and 9 months, respectively, which were successfully managed by a second glans-preserving surgery. CONCLUSION Glans-preserving surgery is an effective method for superficial penile cancer. With proper selection of the patients, this procedure is technically safe, maximally preserves the penile appearance, and least affects the patients' sexual satisfaction.
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Glans-Preserving Surgery for Superficial Penile Cancer
Journal of andrology, 2011Co-Authors: Ninghong Song, Zengjun Wang, Lixin Hua, Changjun Yin, Wei Zhang, Gong ChengAbstract:In this study, we investigated the safety and feasibility of glans-preserving surgery for superficial penile squamous cell carcinoma. Young patients with penile primary tumors exhibiting favorable histologic features were best suited for organ-sparing procedures, enabling them to avoid sexual disturbances. The study included 12 patients, 38-53 years of age (median age 46 years), with superficial lesions involving the glans penis, Coronary Sulcus, or shaft skin. After clinical staging and grading, those patients were offered a glans-preserving procedure to preserve the normal appearance and functional integrity of the glans penis. Of the 12 patients referred, the tumors were TaG1 in 4 patients, TaG2 in 3, TisG1 in 1, TisG2 in 1, T1G1 in 2, and T1G2 in 1. All patients returned to normal sexual activity 1 month postoperatively. Sexual function and sexual satisfaction were well maintained after surgery. The cosmetic results were considered satisfying/very satisfying by 83% (10 of 12 patients). Follow-up data were available on 12 patients at a mean follow-up of 62.5 months. Only 1 patient had recurrence 6 months after surgery, which was managed by a second glans-preserving surgery without recurrence. With careful patient selection and vigilant follow-up, anatomically suitable superficial penile cancer can be offered this glans-preserving surgery, while preserving function of the penis wherever possible.
Juan Zhang - One of the best experts on this subject based on the ideXlab platform.
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staged pendulous prostatic anastomotic urethroplasty followed by reconstruction of the anterior urethra an effective treatment for long segment bulbar and membranous urethral stricture
European Urology, 2007Co-Authors: Sanbao Jin, Juan Zhang, Yong Chen, Chongrui JinAbstract:Abstract Objectives To describe a novel surgical technique for male long-segment urethral stricture after pelvic trauma using the intact and pedicled pendulous urethra to replace the bulbar and membranous urethra, followed by reconstruction of the anterior urethra. Methods Two patients with long-segment post-traumatic bulbar and membranous urethral strictures with short left pendulous urethras who had undergone several failed previous surgeries were treated with staged pendulous-prostatic anastomotic urethroplasty followed by reconstruction of the anterior urethra. This procedure was divided into three stages. First-stage surgery was mobilization of the anterior urethra down to the Coronary Sulcus and then rerouted to the prostatic urethra followed by pendulous-prostatic anastomotic urethroplasty with transposition of the penis to the perineum. Second-stage surgery was transecting the anterior urethra at the revascularised Coronary Sulcus 6 mo later, followed by straightening of the penis and urethroperineostomy. Third-stage surgery was reconstruction of the anterior urethra 6 mo later. Results Postoperatively, the two patients reported satisfactory voiding. For patient 1, retrograde urethrography showed that the urethra was patent, and that the mean maximal flow rate (MFR) was 18.4ml/s with no postvoiding residual urine after the third-stage surgery and at 3-yr follow-up. For patient 2, a 22F urethral catheter could pass smoothly through the urethra, and the MFR was 19.5ml/s with no postvoiding residual urine at 2-yr follow-up. Conclusions This procedure was an effective surgical option for men with complex long-segment post-traumatic bulbar and membranous urethral strictures, especially for those who had undergone failed previous surgical treatments.