Enterourethroplasty
Enterourethroplasty uses a segment of bowel, most commonly ileum, as a substitute conduit for reconstruction of the urethra in cases of complete pan-urethral obliteration or after failed multiple prior repairs. The bowel segment is reconfigured as a tubular or onlay patch and anastomosed to the native urethral remnant. This highly complex procedure carries significant risks including mucous production, metabolic disturbances, and stone formation, and is reserved for patients with no other reconstructive options.
Indications
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Technique Overview
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Key Steps
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Outcomes & Evidence
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Related Topics
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References
- Mundy AR, Andrich DE. "Entero-urethroplasty for the salvage of bulbo-membranous stricture disease or trauma." BJU Int. 2010;105(12):1716–20. PMID: 19930173
- Eisenberg ML, Soni SD, Meng MV, Stoller ML. "The use of bowel for urethral replacement: a systematic review." J Urol. 2011;185(2):553–8. PMID: 21167527