UroRecon
The electronic newsletter of Urologic Trauma and Reconstruction.
Distributed January, May, and September of each year.
September 2010
In Press Citation
(Every issue we may feature one abstract of a paper which is accepted for publications but
is not yet in print. Send abstracts for consideration to wzimmerm@dmc.org)
Nat Rev Urol. 2010 Sep;7(9):521-8.
Epub 2010 Aug 10.
Complicated urethroplasty: a guide for surgeons
Burks FN, Santucci RA.
William Beaumont Hospital, 3535
W. 13 Mile Road, Royal Oak, MI
48073, USA.
Abstract
Although straightforward male urethral stricture disease is commonly encountered in the scope of general
urologic practice, complex urethral strictures are less common and require a more systematic approach.
Complex urethral stricture surgery for long and panurethral strictures, after failed hypospadias repair, and
for recurrent posterior urethral distraction defects requires a dynamic treatment paradigm. A multistaged
urethral reconstruction is often necessary owing to hostile urethral tissue, especially after multiple previous
procedures. A perineal urethrostomy sometimes offers improved quality of life for patients with complex
urethral stricture disease, particularly if they have undergone previous failed repairs. Recurrent posterior
urethral distraction defects are best treated with excision of the scarred urethral segment and reanastomosis. Urethral stricture disease after treatment for prostate cancer requires multiple treatment
approaches given the often poor tissue quality and likelihood of stricture recurrence.
RECENT UROLOGIC RECONSTRUCTION CITATIONS
Porcine small intestinal submucosa augmentation urethroplasty and balloon dilatation of a urethral stricture
secondary to inadvertent prostatectomy in a dog.
Powers MY, Campbell BG, Weisse C.
J Am Anim Hosp Assoc. 2010 Sep-Oct;46(5):358-65.
Thulium laser urethrotomy for urethral stricture: A preliminary report.
Wang L, Wang Z, Yang B, Yang Q, Sun Y.
Lasers Surg Med. 2010 Sep;42(7):620-3
Improved Continence in Patients With Neurogenic Sphincteric Incompetence With Combination
Tubularized Posterior Urethroplasty and Fascial Wrap: The Lengthening, Narrowing and Tightening
Procedure. Churchill BM, Bergman J, Kristo B, Gore JL.
J Urol. 2010 Aug 19.
The Use of Uroflowmetry to Diagnose Recurrent Stricture After Urethral Reconstructive Surgery.
Erickson BA, Breyer BN, McAninch JW.
J Urol. 2010 Aug 18. [Epub ahead of print]
Surgical Management of Primary Severe Hypospadias in Children: Systematic 20-Year Review.
Castagnetti M, El-Ghoneimi A.
J Urol. 2010 Aug 18. [Epub ahead of print]
Vaginal Flap Urethroplasty for Wide Female Stricture Disease.
Simonato A, Varca V, Esposito M, Carmignani G.
J Urol. 2010 Aug 18. [Epub ahead of print]
Complicated urethroplasty: a guide for surgeons.
Burks FN, Santucci RA.
Nat Rev Urol. 2010 Aug 10. [Epub ahead of print]
Reconstruction of the penis after surgery.
Salgado CJ, Monstrey S, Hoebeke P, Lumen N, Dwyer M, Mardini S.
Urol Clin North Am. 2010 Aug;37(3):379-401. Review.
Hypospadias: Surgery and Complications.
Aigrain Y, Cheikhelard A, Lottmann H, Lortat-Jacob S.
Horm Res Paediatr. 2010 Jul 6. [Epub ahead of print]
Monti's procedure as an alternative technique in complex urethral distraction defect.
Hosseini J, Kaviani A, Mazloomfard MM, Golshan AR.
Int Braz J Urol. 2010 May-Jun;36(3):317-26.
Tubularized incised plate proximal hypospadias repair: Continued evolution and extended applications.
Snodgrass W, Bush N.
J Pediatr Urol. 2010 Jun 30. [Epub ahead of print]
(send citations for consideration for inclusion in UroRecon to wzimmerm@dmc.org)
RECENT UROLOGIC TRAUMA CITATIONS
Blunt renal trauma and the predictors of failure of non-operative management.
Simmons JD, Haraway AN, Schmieg RE Jr, Duchesne JD.
J Miss State Med Assoc. 2010 May;51(5):131-3.
Examination of the Impact of Airbags on Renal Injury Using a National Database.
Smith TG 3rd, Wessells HB, Mack CD, Kaufman R, Bulger EM, Voelzke BB.
J Am Coll Surg. 2010 Sep;211(3):355-360. Epub 2010 Jul 14.
A Conservative Approach to Testicular Rupture in Adolescent Boys.
Cubillos J, Reda EF, Gitlin J, Zelkovic P, Palmer LS.
J Urol. 2010 Aug 19. [Epub ahead of print]
Use of Adult Criteria for Slice Imaging May Limit Unnecessary Radiation Exposure in Children Presenting
With Hematuria and Blunt Abdominal Trauma.
Raz O, Haifler M, Copel L, Lang E, Abu-Kishk I, Eshel G, Klin B, Lindner A, Zisman A.
Urology. 2010 Aug 12. [Epub ahead of print]
Intermediate-term follow-up of patients treated with percutaneous embolization for grade 5 blunt renal
trauma.
Stewart AF, Brewer ME Jr, Daley BJ, Klein FA, Kim ED.
J Trauma. 2010 Aug;69(2):468-70.
Arterial embolization for iatrogenic life-threatening bleeding from subcutaneous hypervascular tumor in
prone position.
Morita S, Tsuji T, Sawamoto T, Aoki H, Miura N, Otsuka H, Inokuchi S.
Chin J Traumatol. 2010 Aug 1;13(4):244-6.
A New Technique for Ureteral Defect Lesion Reconstruction Using an Autologous Vein Graft and a
Biodegradable Endoluminal Stent.
Wolters HH, Heistermann HP, Stöppeler S, Hierlemann H, Spiegel HU, Palmes D.
J Urol. 2010 Jul 20. [Epub ahead of print]
Computed tomography of blunt renal trauma.
Razali MR, Azian AA, Amran AR, Azlin S.
Singapore Med J. 2010 Jun;51(6):468-73
Conservative management of a grade V injury to an ectopic pelvic kidney following blunt trauma to the
lower abdomen: a case report.
Becker AB, Baig MB, Becker AM.
J Med Case Reports. 2010 Jul 24;4(1):224. [Epub ahead of print]
Assessing the Usefulness of Delayed Imaging in Routine Followup for Renal Trauma. Davis P, Bultitude
MF, Koukounaras J, Royce PL, Corcoran NM.
J Urol. 2010 Jul 17. [Epub ahead of print]
Massive retroperitoneal haemorrhage after extracorporeal shock wave lithotripsy (ESWL).
Inoue H, Kamphausen T, Bajanowski T, Trübner K.
Int J Legal Med. 2010 Jul 11. [Epub ahead of print]
Nonoperative management of blunt renal injury: a need for further study.
Aguayo P, Fraser JD, Sharp S, Holcomb GW 3rd, Ostlie DJ, St Peter SD.
J Pediatr Surg. 2010 Jun;45(6):1311-4.
(send citations for consideration for inclusion in UroRecon to wzimmerm@dmc.org)
MEETING/OTHER INFORMATION
3rd Surgical Workshop of Complex Uro-Genital
Reconstructive Surgery in Adulthood
Sava Perovic
29-30th October 2010
Belgrade, Serbia
Sava Perovic Foundation,
Chairman
Borisavljeviceva str. 58
11000 Belgrade, Serbia
Tel:
+381 / 11 2474 918; +381 / 66 600 9902
Mob.: +381 / 64 190 3736; +381 / 66 609 3736
Fax:
+381 / 11 2475 954
Email: perovics@eunet.rs; djinovic@gmail.com
Web: www.savaperovic.com; www.savaperovicfoundation.com
Genito-Urethral Reconstructive Surgery
22nd - 23rd November 2010
Royal College of Surgeons, 35-43 Lincoln's Inn Fields, London
2 DAYS HANDS-ON CADAVER COURSE
Insertion bulbar artificial urinary sphincter, Bulbar Urethroplasty, Nesbitt’s and Lue Procedure
Pelvic and Inguinal Lymph Node Dissection, Penile Urethroplasty, Insertion of Penile Prostheses
20 places available
In association with The Institute of Urology
Agenda, information and registration - Ilaria Fossati [ilaria.fossati@ammd.com]
The 4th Masterclass of Urethro-Genital
Surgery
24-26 November 2010
Education Centre – UCLH - London – NW1
It gives us great pleasure to invite you to the 4th Masterclass of Urethro-Genital Surgery, organised by the
Reconstructive and Andrology Units of The Institute of Urology from 24 th – 26th November, 2010 at UCL
Hospitals NHS Foundation Trust. The structure of this Live Surgery course will remain the same as the last
time and the surgical cases are selected for their advanced complexity. We have an excellent faculty to
interact with delegates via live-link.
3 DAYS LIVE SURGERY COURSE
Urethral surgery
Surgery for sphincter weakness incontinence
Surgery for penile curvature and erectile dysfunction
Penile Cancer and Reconstruction
6 CME points will be awarded per day.
The cost of the course is £150 per day including lunch.
The cost of attending all 3 days of the course will be £300 if booked before 30 th September 2010
The deadline for registrations will be 30th October 2010.
For further details and application forms please visit the website:
www.instituteofurology.org
or contact Miss Ellen Hedley - Course Administrator - ellenshedley@btinternet.com
Society of Genitourinary Reconstructive Surgeons
General Membership Scientific Session
Washington, DC
Sunday, May 15, 2011
1:00pm to 5:10pm
Location TBA
(send information/meetings for UroRecon to wzimmerm@dmc.org)
FELLOWSHIP INFORMATION
Institution: The Detroit Medical Center
Mailing address: Department of Urology
4160 John R.
Suite 1017
Detroit, MI 48120
Contact persons name: Richard Santucci, MD
Contact persons email:rsantucc@dmc.org
Phone: (313) 745-1712
Fax: (313) 745-8222
Fellowship website: http://www.drhuhc.org/urology3.html
Short description: We perform more than 80 reconstructive cases a year, mostly complex urethroplasty. The
Fellow has staff privileges at one of the nation’s premier Level I trauma centers, and has constant
opportunity to operate “solo” at the attending level.
Work in a supportive environment designed to foster your academic career and clinical skills. Adequate
time will be arranged for clinical research and developing your C.V., to help prepare you for academic or
private job market.
We have a nice mix of male urethral reconstruction, spinal cord reconstruction, trauma, and other
reconstruction cases (such as iatrogenic ureteral injury). We’ve got a robust referral population and see a
huge variety of cases.
Apply by which date: Apply as early as possible, 2 years ahead. Interview between July 1 – December 30,
2010, for Fellowship starting July 1, 2012.
(send fellowship information for UroRecon to wzimmerm@dmc.org)
URORECON INFORMATION
UroRecon is edited by W. Britt Zimmerman, DO and founded by Richard A. Santucci, MD, and includes
abstracts of papers in press, announcements, notice of meetings, positions available, and recently published
papers of interest in the field of Trauma and Reconstructive Urology. To submit an item, subscribe, or unsubscribe, send e-mail to wzimmerm@dmc.org.
W. Britt Zimmerman, D.O.
-Chief of Urology, Rehabilitation Institute of Michigan – Detroit Medical Center
-Clinical Instructor Michigan Statue University – College of Osteopathic Medicine
4160 John R., Suite 1017
Detroit, MI 48201
Assistant Ms. Nancy Smith 313-745-9485
Direct Line 313-745-9658
FAX 313-745-8222
DISCLAIMER: UroRecon is provided “as is” for informational purposes only and without warranty of any
kind, express or implied. Users shall assume the risk as to the accuracy and usefulness of information found
in UroRecon. Opinions expressed here are not necessarily those of the editor, the Detroit Medical Center,
Michigan State University - College of Osteopathic Medicine.. You may share UroRecon freely with your
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