Advanced Male Urethral and Genital Reconstructive Surgery 2nd Edition by Steven Brandes 9781461477082 1461477085

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ISBN 10: 1461477085
ISBN 13: 9781461477082 
Author: Steven B. Brandes, Steven B. Brandes, Allen F. Morey

Since the publication of the first edition of Urethral Reconstructive Surgery, important refinements have been added to the urologic surgical armamentarium. Extensively revised and updated, Advanced Male Urethral and Genital Reconstructive Surgery, Second Edition guides urologists in a practical manner on how to evaluate and manage complex urethral and male genital reconstructive challenges. Chapters have been added on wound healing, synchronous urethral strictures, non-transecting anastomotic urethroplasty (including muscle and vessel sparing), overlapping buccal grafts, male urethral slings, genital skin grafting, Peyronie’s surgery, priapism, pediatric strictures and prosthetics. Such chapters greatly strengthen the overall appeal of the book. The volume closes with a new comprehensive appendix of preferred instruments. With broad contributions by international authorities in reconstructive urologic surgery, Advanced Male Urethral and Genital Reconstructive Surgery, Second Edition is a valuable resource for all urologists, from residents to reconstructive surgeons.

Advanced Male Urethral and Genital Reconstructive Surgery 2nd Table of contents:

1. Decision Making and Surgical Technique in Urethroplasty

• Summary
• Introduction
• Preoperative Assessment
• Stricture Versus Stricture Disease
• Imaging and Cystoscopy Evaluation
• Timing of Surgery
• Positioning
  • Patient Positioning
  • Scrub Tech Positioning
• Anterior Urethroplasty
  • General Concepts
    • Lighting
    • Incision
    • Intraoperative Endoscopy
    • Urethral Mucosal Staining
    • Urethral Vascular Control
    • Bipolar Electrocautery
    • Urethral Mobilization
    • Urethral Elasticity
    • Straightening the Urethra (Shortening the Gap)
    • Urethral Calibration
    • Urethral Orientation
  • Specific Methods
    • Anastomotic Urethroplasty
    • Substitution Urethroplasty and “Stricture Disease”
    • Flaps and Grafts
    • Does Location of Buccal Graft Placement (Dorsal or Ventral) Really Make Any Difference?
    • Buccal Graft Harvest: Technique Specifics
• Posterior Urethroplasty
  • Technical and Surgical Specifics
• Informed Consent
• References
• Suggested Readings

2. Male Urethra and External Genitalia Anatomy

• Summary
• Male Urethra
• Penis
• Scrotum
• References

3. Vascular Anatomy of Genital Skin and the Urethra: Implications for Urethral Reconstruction

• Summary
• Penile Anatomy: Gross
• Penile Skin Arterial Blood Supply
• Scrotal Skin Blood Supply
• Venous Drainage of the Penile Skin
• Venous Drainage of the Scrotum
• Genital Flap Selection
• Blood Supply of the Urethra (Corpus Spongiosum)
  • Arterial Blood Supply
  • Venous Drainage
• References

4. Lichen Sclerosus

• Summary
• Introduction and Epidemiology
• Historical Aspects
• Etiology
  • Koebner Phenomenon
  • Genetic Susceptibility and Autoimmunity
  • Oxidative Stress
  • Infectious
• LS and Squamous Cell Carcinoma (SCC)
• Histology
• Clinical Presentation
• Management
  • Medical Treatment
  • Surgical Management
• References

5. Imaging of the Male Urethra

• Summary
• Introduction
• Conventional Urethrography
  • Normal Anatomy
  • Retrograde Urethrography
  • Voiding Cystourethrography
  • Stricture Characteristics and Extent
• Ultrasound and Sonourethrography
• Magnetic Resonance Imaging
• Voiding CT Urethrography
• References

6. Practical Plastic Surgery: Techniques for the Reconstructive Urologist

• Summary
• Introduction
• Anatomy of the Skin
• Wound Healing
• Assessment of the Patient
• Reconstructive Ladder
  • Secondary Intention
  • Negative-Pressure Wound Therapy
  • Primary Closure
  • Tissue Grafts
    • Oral Mucosal Grafts
    • Skin Grafts
  • Local Flaps
  • Pedicled Flaps
  • Free Flaps
  • Pre-lamination of Flaps
• Tissue Engineering Urethroplasty
• References

7. The Epidemiology, Clinical Presentation, and Economic Burden of Urethral Stricture

• Summary
• Prevalence of Urethral Stricture
• Risk Factors and Demographics
• Signs and Symptoms of Urethral Stricture
• Differential Diagnosis
• Physical Examination
• Complications of Urethral Stricture
• Economic Impact and Considerations
•  

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