A novel composite two-stage urethroplasty for complex penile strictures: A multicenter experience
Complex penile strictures are usually repaired using a two-stage urethroplasty. Buccal mucosal graft (BMG) placed in the first stage can have a significant contraction rate, which may require a subsequent revision surgery. We describe a composite two-stage penile urethroplasty using BMG for patients...
Saved in:
Published in | Indian journal of urology Vol. 33; no. 2; pp. 155 - 158 |
---|---|
Main Authors | , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
India
Medknow Publications and Media Pvt. Ltd
01.04.2017
Medknow Publications & Media Pvt. Ltd Medknow Publications & Media Pvt Ltd Wolters Kluwer Medknow Publications |
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | Complex penile strictures are usually repaired using a two-stage urethroplasty. Buccal mucosal graft (BMG) placed in the first stage can have a significant contraction rate, which may require a subsequent revision surgery. We describe a composite two-stage penile urethroplasty using BMG for patients of complex penile strictures who have some salvageable urethral plate.
Within a multi-institutional cohort, 82 patients underwent a two-stage urethroplasty for complex stricture of the penile urethra. Of these 42 patients who underwent our composite two-stage penile urethroplasty using BMG implanted at the second-stage were included. Patients with genital lichen sclerosus or incomplete clinical records were excluded from this study. The primary outcome of the study was to evaluate stricture-free success rate.
Of total 42, 4 patients were lost to follow-up. 42% of stricture etiology was failed hypospadias repair. Mean stricture length was 4.5 cm (range 3-8 cm). Seventeen (44.7%) patients had undergone the previous urethroplasty. At a median follow-up of 44 months, of 38 patients, 34 (89.5%) were successful, and 4 (10.5%) had a recurrence. No patient required revision surgery before the second-stage and required redo buccal graft harvesting for subsequent urethroplasty.
The composite two-stage technique in repairing complex penile urethral strictures is a valid and reproducible surgical treatment for complex penile stricture and it may reduce the rate of contraction of the transplanted BMG. |
---|---|
AbstractList | Introduction: Complex penile strictures are usually repaired using a two-stage urethroplasty. Buccal mucosal graft (BMG) placed in the first stage can have a significant contraction rate, which may require a subsequent revision surgery. We describe a composite two-stage penile urethroplasty using BMG for patients of complex penile strictures who have some salvageable urethral plate. Methods: Within a multi-institutional cohort, 82 patients underwent a two-stage urethroplasty for complex stricture of the penile urethra. Of these 42 patients who underwent our composite two-stage penile urethroplasty using BMG implanted at the second-stage were included. Patients with genital lichen sclerosus or incomplete clinical records were excluded from this study. The primary outcome of the study was to evaluate stricture-free success rate. Results: Of total 42, 4 patients were lost to follow-up. 42% of stricture etiology was failed hypospadias repair. Mean stricture length was 4.5 cm (range 3–8 cm). Seventeen (44.7%) patients had undergone the previous urethroplasty. At a median follow-up of 44 months, of 38 patients, 34 (89.5%) were successful, and 4 (10.5%) had a recurrence. No patient required revision surgery before the second-stage and required redo buccal graft harvesting for subsequent urethroplasty. Conclusions: The composite two-stage technique in repairing complex penile urethral strictures is a valid and reproducible surgical treatment for complex penile stricture and it may reduce the rate of contraction of the transplanted BMG. Complex penile strictures are usually repaired using a two-stage urethroplasty. Buccal mucosal graft (BMG) placed in the first stage can have a significant contraction rate, which may require a subsequent revision surgery. We describe a composite two-stage penile urethroplasty using BMG for patients of complex penile strictures who have some salvageable urethral plate. Within a multi-institutional cohort, 82 patients underwent a two-stage urethroplasty for complex stricture of the penile urethra. Of these 42 patients who underwent our composite two-stage penile urethroplasty using BMG implanted at the second-stage were included. Patients with genital lichen sclerosus or incomplete clinical records were excluded from this study. The primary outcome of the study was to evaluate stricture-free success rate. Of total 42, 4 patients were lost to follow-up. 42% of stricture etiology was failed hypospadias repair. Mean stricture length was 4.5 cm (range 3-8 cm). Seventeen (44.7%) patients had undergone the previous urethroplasty. At a median follow-up of 44 months, of 38 patients, 34 (89.5%) were successful, and 4 (10.5%) had a recurrence. No patient required revision surgery before the second-stage and required redo buccal graft harvesting for subsequent urethroplasty. The composite two-stage technique in repairing complex penile urethral strictures is a valid and reproducible surgical treatment for complex penile stricture and it may reduce the rate of contraction of the transplanted BMG. INTRODUCTIONComplex penile strictures are usually repaired using a two-stage urethroplasty. Buccal mucosal graft (BMG) placed in the first stage can have a significant contraction rate, which may require a subsequent revision surgery. We describe a composite two-stage penile urethroplasty using BMG for patients of complex penile strictures who have some salvageable urethral plate. METHODSWithin a multi-institutional cohort, 82 patients underwent a two-stage urethroplasty for complex stricture of the penile urethra. Of these 42 patients who underwent our composite two-stage penile urethroplasty using BMG implanted at the second-stage were included. Patients with genital lichen sclerosus or incomplete clinical records were excluded from this study. The primary outcome of the study was to evaluate stricture-free success rate. RESULTSOf total 42, 4 patients were lost to follow-up. 42% of stricture etiology was failed hypospadias repair. Mean stricture length was 4.5 cm (range 3-8 cm). Seventeen (44.7%) patients had undergone the previous urethroplasty. At a median follow-up of 44 months, of 38 patients, 34 (89.5%) were successful, and 4 (10.5%) had a recurrence. No patient required revision surgery before the second-stage and required redo buccal graft harvesting for subsequent urethroplasty. CONCLUSIONSThe composite two-stage technique in repairing complex penile urethral strictures is a valid and reproducible surgical treatment for complex penile stricture and it may reduce the rate of contraction of the transplanted BMG. |
Audience | Academic |
Author | Barbagli, Guido Costi, Dimitris Hunter, Craig Castiglione, Fabio Lazzeri, Massimo Desai, Devang J Sansalone, Salvatore Kulkarni, Sanjay B Surana, Sandesh Joshi, Pankaj M Batra, Vikram Hamouda, Atef |
AuthorAffiliation | 2 Department of Experimental Medicine and Surgery, University of Tor Vergata, Rome, Italy Kulkarni Centre for Reconstructive Urology, Pune, Maharashtra, India 3 Evangelistria Medical Centre, Nicosia, Cyprus 4 Humanitas Clinical and Researcher Centre, Humanitas University, Rozzano, Italy 1 Department of Reconstructive Urology, Centro Chirurgico Toscano, Arezzo, Italy |
AuthorAffiliation_xml | – name: 4 Humanitas Clinical and Researcher Centre, Humanitas University, Rozzano, Italy – name: Kulkarni Centre for Reconstructive Urology, Pune, Maharashtra, India – name: 2 Department of Experimental Medicine and Surgery, University of Tor Vergata, Rome, Italy – name: 1 Department of Reconstructive Urology, Centro Chirurgico Toscano, Arezzo, Italy – name: 3 Evangelistria Medical Centre, Nicosia, Cyprus |
Author_xml | – sequence: 1 givenname: Pankaj M surname: Joshi fullname: Joshi, Pankaj M organization: Kulkarni Centre for Reconstructive Urology, Pune, Maharashtra, India – sequence: 2 givenname: Guido surname: Barbagli fullname: Barbagli, Guido organization: Department of Reconstructive Urology, Centro Chirurgico Toscano, Arezzo, Italy – sequence: 3 givenname: Vikram surname: Batra fullname: Batra, Vikram organization: Kulkarni Centre for Reconstructive Urology, Pune, Maharashtra, India – sequence: 4 givenname: Sandesh surname: Surana fullname: Surana, Sandesh organization: Kulkarni Centre for Reconstructive Urology, Pune, Maharashtra, India – sequence: 5 givenname: Atef surname: Hamouda fullname: Hamouda, Atef organization: Kulkarni Centre for Reconstructive Urology, Pune, Maharashtra, India – sequence: 6 givenname: Salvatore surname: Sansalone fullname: Sansalone, Salvatore organization: Department of Experimental Medicine and Surgery, University of Tor Vergata, Rome, Italy – sequence: 7 givenname: Dimitris surname: Costi fullname: Costi, Dimitris organization: Evangelistria Medical Centre, Nicosia, Cyprus – sequence: 8 givenname: Massimo surname: Lazzeri fullname: Lazzeri, Massimo organization: Humanitas Clinical and Researcher Centre, Humanitas University, Rozzano, Italy – sequence: 9 givenname: Craig surname: Hunter fullname: Hunter, Craig organization: Kulkarni Centre for Reconstructive Urology, Pune, Maharashtra, India – sequence: 10 givenname: Devang J surname: Desai fullname: Desai, Devang J organization: Kulkarni Centre for Reconstructive Urology, Pune, Maharashtra, India – sequence: 11 givenname: Fabio surname: Castiglione fullname: Castiglione, Fabio organization: Kulkarni Centre for Reconstructive Urology, Pune, Maharashtra, India – sequence: 12 givenname: Sanjay B surname: Kulkarni fullname: Kulkarni, Sanjay B organization: Kulkarni Centre for Reconstructive Urology, Pune, Maharashtra, India |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28469305$$D View this record in MEDLINE/PubMed |
BookMark | eNptkktv1DAUhSNURKeFPSsUiQ2bDH4mMQukUcWjUiU2sLYc-2bqUWIH2yntv8fplIFBIy8s-X7n-Pr6XBRnzjsoitcYrRlG9D0SDaowF3hNEGWkflassBBtRVvCzorVoXxeXMS4Q4jhltQvinPSslpQxFeF2pTO38FQaj9OPtoEZfrlq5jUFso5QLoNfhpUTA9l78MjNcB9OYGzA5QxBatTxuKHclOO85CsBpcglHA_QbDgNLwsnvdqiPDqab8sfnz-9P3qa3Xz7cv11eam0lzwVOmeIFTXWvC-4T3Rpla6A6MapBpgrSJt3wgGtaK6pllhRKdbY4xoaYcNGHpZXO99jVc7OQU7qvAgvbLy8cCHrVQh9zeAVAJRrmoqsj9juu1416Aec4wRUxQvXh_3XtPcjWCWNwU1HJkeV5y9lVt_JzkVNUM8G7x7Mgj-5wwxydFGDcOgHPg5StwKThrKmgV9-x-683NweVSSYMx5TQlnf6mtyg-wrvf5Xr2Yyg0TeXINZzhT1QlqCw5ykzk6ff60Y359gs_LwGj1SQHaC3TwMQboDzPBSC6RlEvm5JI5uY9klrz5d5YHwZ8M0t_j4N3C |
CitedBy_id | crossref_primary_10_1007_s11934_024_01196_7 crossref_primary_10_54212_27068048_v9i1_16 crossref_primary_10_1007_s11255_020_02397_y crossref_primary_10_1111_iju_15044 crossref_primary_10_17816_uroved115220 crossref_primary_10_3389_fruro_2023_1138707 crossref_primary_10_1016_j_mjafi_2022_12_002 crossref_primary_10_1177_2051415820933504 crossref_primary_10_21886_2308_6424_2022_10_1_70_83 crossref_primary_10_1111_iju_14649 crossref_primary_10_1007_s00345_021_03692_8 crossref_primary_10_21886_2308_6424_2022_10_2_87_98 crossref_primary_10_1007_s00345_024_05049_3 |
ContentType | Journal Article |
Copyright | COPYRIGHT 2017 Medknow Publications and Media Pvt. Ltd. 2017. This work is published under https://creativecommons.org/licenses/by-nc-sa/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. Copyright: © 2017 Indian Journal of Urology 2017 |
Copyright_xml | – notice: COPYRIGHT 2017 Medknow Publications and Media Pvt. Ltd. – notice: 2017. This work is published under https://creativecommons.org/licenses/by-nc-sa/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. – notice: Copyright: © 2017 Indian Journal of Urology 2017 |
DBID | NPM AAYXX CITATION 3V. 7X7 7XB 8FI 8FJ 8FK 8G5 ABUWG AFKRA AZQEC BENPR CCPQU DWQXO FYUFA GHDGH GNUQQ GUQSH K9. M0S M2O MBDVC PADUT PIMPY PQEST PQQKQ PQUKI PRINS Q9U 7X8 5PM DOA |
DOI | 10.4103/0970-1591.203426 |
DatabaseName | PubMed CrossRef ProQuest Central (Corporate) Health & Medical Collection ProQuest Central (purchase pre-March 2016) Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) Research Library (Alumni Edition) ProQuest Central (Alumni) ProQuest Central ProQuest Central Essentials ProQuest Central ProQuest One Community College ProQuest Central Korea Health Research Premium Collection Health Research Premium Collection (Alumni) ProQuest Central Student Research Library Prep ProQuest Health & Medical Complete (Alumni) Health & Medical Collection (Alumni Edition) Research Library Research Library (Corporate) Research Library China Publicly Available Content Database ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic ProQuest One Academic UKI Edition ProQuest Central China ProQuest Central Basic MEDLINE - Academic PubMed Central (Full Participant titles) DOAJ Directory of Open Access Journals |
DatabaseTitle | PubMed CrossRef Publicly Available Content Database Research Library Prep ProQuest Central Student ProQuest Central Basic ProQuest Central Essentials ProQuest One Academic Eastern Edition ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest Hospital Collection Research Library (Alumni Edition) Health Research Premium Collection (Alumni) ProQuest Central China ProQuest Hospital Collection (Alumni) ProQuest Central ProQuest Health & Medical Complete Health Research Premium Collection ProQuest One Academic UKI Edition Health and Medicine Complete (Alumni Edition) ProQuest Central Korea ProQuest Research Library Research Library China ProQuest One Academic ProQuest Central (Alumni) MEDLINE - Academic |
DatabaseTitleList | Publicly Available Content Database PubMed MEDLINE - Academic |
Database_xml | – sequence: 1 dbid: DOA name: Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website – sequence: 2 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 3 dbid: BENPR name: ProQuest Central url: https://www.proquest.com/central sourceTypes: Aggregation Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 1998-3824 |
EndPage | 158 |
ExternalDocumentID | oai_doaj_org_article_a9035a639eda44c8b5b70f151104a31d A490067541 10_4103_0970_1591_203426 28469305 |
Genre | Journal Article |
GroupedDBID | --- 04C 29I 2WC 3V. 53G 5GY 7X7 8FI 8FJ 8G5 AAWTL ABJNI ABUWG ABXLX ACGFS ADFRT ADRAZ AFKRA AHMBA ALMA_UNASSIGNED_HOLDINGS AZQEC BENPR BPHCQ BVXVI C1A CCPQU DIK DU5 DWQXO E3Z EBD EBS EIHBH EJD EOJEC F5P FYUFA GNUQQ GROUPED_DOAJ GUQSH GX1 HMCUK HYE IAO IEA IHE IHR IL9 IOF IPNFZ ITC KQ8 M2O M48 M~E NPM O5R O5S OBODZ OK1 OVD P2P PADUT PIMPY PQQKQ PROAC RIG RMW RPM TEORI UKHRP W3E AAYXX ALIPV CITATION H13 PGMZT 7XB 8FK K9. MBDVC PQEST PQUKI PRINS Q9U 7X8 5PM |
ID | FETCH-LOGICAL-c595t-cf20066c95f75f2cd6acbeda70a7e48a28f794e6a3c63595d9bc8ddd983b1ded3 |
IEDL.DBID | RPM |
ISSN | 0970-1591 |
IngestDate | Thu Jul 04 20:44:31 EDT 2024 Tue Sep 17 20:47:57 EDT 2024 Fri Aug 16 10:27:16 EDT 2024 Fri Sep 13 05:36:38 EDT 2024 Thu Feb 22 23:45:40 EST 2024 Fri Feb 02 05:12:33 EST 2024 Sat Dec 16 00:22:22 EST 2023 Fri Aug 23 02:53:19 EDT 2024 Thu May 23 23:23:46 EDT 2024 |
IsDoiOpenAccess | true |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 2 |
Language | English |
License | This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-c595t-cf20066c95f75f2cd6acbeda70a7e48a28f794e6a3c63595d9bc8ddd983b1ded3 |
Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
OpenAccessLink | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5396405/ |
PMID | 28469305 |
PQID | 2115563254 |
PQPubID | 226502 |
PageCount | 4 |
ParticipantIDs | doaj_primary_oai_doaj_org_article_a9035a639eda44c8b5b70f151104a31d pubmedcentral_primary_oai_pubmedcentral_nih_gov_5396405 proquest_miscellaneous_1895273475 proquest_journals_2115563254 gale_infotracmisc_A490067541 gale_infotracgeneralonefile_A490067541 gale_infotracacademiconefile_A490067541 crossref_primary_10_4103_0970_1591_203426 pubmed_primary_28469305 |
PublicationCentury | 2000 |
PublicationDate | 2017-04-01 |
PublicationDateYYYYMMDD | 2017-04-01 |
PublicationDate_xml | – month: 04 year: 2017 text: 2017-04-01 day: 01 |
PublicationDecade | 2010 |
PublicationPlace | India |
PublicationPlace_xml | – name: India – name: Vellore |
PublicationTitle | Indian journal of urology |
PublicationTitleAlternate | Indian J Urol |
PublicationYear | 2017 |
Publisher | Medknow Publications and Media Pvt. Ltd Medknow Publications & Media Pvt. Ltd Medknow Publications & Media Pvt Ltd Wolters Kluwer Medknow Publications |
Publisher_xml | – name: Medknow Publications and Media Pvt. Ltd – name: Medknow Publications & Media Pvt. Ltd – name: Medknow Publications & Media Pvt Ltd – name: Wolters Kluwer Medknow Publications |
References | 18691809 - Eur Urol. 2009 Apr;55(4):945-54 20847550 - Urol Int. 2010;85(4):427-35 16476518 - Eur Urol. 2006 May;49(5):887-94; discussion 895 19468400 - Indian J Urol. 2008 Apr;24(2):210-8 24035880 - J Urol. 2014 Mar;191(3):688-93 21176068 - BJU Int. 2011 Jan;107(1):6-26 11711331 - Urology. 2001 Nov;58(5):657-9 19913825 - J Urol. 2010 Jan;183(1):207-11 21679976 - J Urol. 2011 Aug;186(2):375-6 18485036 - BJU Int. 2008 Sep;102(7):853-60 Asopa (key-10.4103/0970-1591.203426-2) 2001 Barbagli (key-10.4103/0970-1591.203426-6) 2006 Barbagli (key-10.4103/0970-1591.203426-3) 2008 Barbagli (key-10.4103/0970-1591.203426-4) 2011 Bracka (key-10.4103/0970-1591.203426-11) 2008 Barbagli (key-10.4103/0970-1591.203426-7) 2014 Mundy (key-10.4103/0970-1591.203426-1) 2011 Johanson (key-10.4103/0970-1591.203426-5) 1953 Barbagli (key-10.4103/0970-1591.203426-9) 2010 Perovic (key-10.4103/0970-1591.203426-10) 2010 Kulkarni (key-10.4103/0970-1591.203426-8) 2009 Andrich (key-10.4103/0970-1591.203426-12) 2009 |
References_xml | – start-page: 207 volume-title: Retrospective descriptive analysis of 1,176 patients with failed hypospadias repair year: 2010 ident: key-10.4103/0970-1591.203426-9 publication-title: J Urol contributor: fullname: Barbagli – start-page: 375 volume-title: Penile urethral stricture reconstruction – Flap or graft.Graft? year: 2011 ident: key-10.4103/0970-1591.203426-4 publication-title: J Urol contributor: fullname: Barbagli – start-page: 6 volume-title: Urethral strictures year: 2011 ident: key-10.4103/0970-1591.203426-1 publication-title: BJU Int contributor: fullname: Mundy – start-page: 657 volume-title: Dorsal free graft urethroplasty for urethral stricture by ventral sagittal urethrotomy approach year: 2001 ident: key-10.4103/0970-1591.203426-2 publication-title: Urology contributor: fullname: Asopa – start-page: Abstract 40, pp15 volume-title: Climate – A potential cause of primary graft failure in buccal mucosal graft urethroplasty year: 2009 ident: key-10.4103/0970-1591.203426-12 publication-title: J Urol contributor: fullname: Andrich – start-page: 945 volume-title: Lichen sclerosus of the male genitalia and urethra: Surgical options and results in a multicenter international experience with 215 patients year: 2009 ident: key-10.4103/0970-1591.203426-8 publication-title: Eur Urol contributor: fullname: Kulkarni – start-page: 1 volume-title: Reconstruction of the male urethra in strictures.Application of the buried intact epithelium technic year: 1953 ident: key-10.4103/0970-1591.203426-5 publication-title: Acta Chir Scand contributor: fullname: Johanson – start-page: 688 volume-title: Prediction of early and late complications after oral mucosal graft harvesting: Multivariable analysis from a cohort of 553 consecutive patients year: 2014 ident: key-10.4103/0970-1591.203426-7 publication-title: J Urol contributor: fullname: Barbagli – start-page: 427 volume-title: Surgical challenge in patients who underwent failed hypospadias repair: Is it time to change? year: 2010 ident: key-10.4103/0970-1591.203426-10 publication-title: Urol Int contributor: fullname: Perovic – start-page: 210 issn: 0970-1591 volume-title: The role of two-stage repair in modern hypospadiology year: 2008 ident: key-10.4103/0970-1591.203426-11 publication-title: Indian J Urol contributor: fullname: Bracka – start-page: 887 volume-title: Failed hypospadias repair presenting in adults year: 2006 ident: key-10.4103/0970-1591.203426-6 publication-title: Eur Urol contributor: fullname: Barbagli – start-page: 853 volume-title: Retrospective outcome analysis of one-stage penile urethroplasty using a flap or graft in a homogeneous series of patients year: 2008 ident: key-10.4103/0970-1591.203426-3 publication-title: BJU Int contributor: fullname: Barbagli |
SSID | ssj0041826 |
Score | 2.2184088 |
Snippet | Complex penile strictures are usually repaired using a two-stage urethroplasty. Buccal mucosal graft (BMG) placed in the first stage can have a significant... Introduction: Complex penile strictures are usually repaired using a two-stage urethroplasty. Buccal mucosal graft (BMG) placed in the first stage can have a... INTRODUCTIONComplex penile strictures are usually repaired using a two-stage urethroplasty. Buccal mucosal graft (BMG) placed in the first stage can have a... |
SourceID | doaj pubmedcentral proquest gale crossref pubmed |
SourceType | Open Website Open Access Repository Aggregation Database Index Database |
StartPage | 155 |
SubjectTerms | Analysis Care and treatment Fistula Original Patients Penile diseases Skin & tissue grafts Surgery Treatment outcome Urine Urogenital system Urologic surgery |
SummonAdditionalLinks | – databaseName: DOAJ Directory of Open Access Journals dbid: DOA link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1bi9UwEA6yD-KLuF67u0oEUXwo2zZ3347isgjrkwv7FtJkugpLz3IuXv69M2lPOUXBF1-bFNKvM5lvyOQbxl5hFNeiCk3pdONKaaQsA7S6TNSt22orU6DLyRef9fml_HSlrvZafVFN2CAPPAB3GlwlVMA4CilIGW2rWlN1GKcwjwiiTnn3rdUumRr2YEmsOavsmarEgF0PB5SyrsTp9AyTQyFJVGEvIGXd_j93573wNC-d3ItFZw_Y_ZFE8sWw-EN2B_qH7O7FeEz-iIUF75ff4YZTwThVZQHf_FiWSASvgW9XkHsjIG3e_OLIWfOsG_jJb6HHPYJTJ498sLB-xxc8VxzSOmDFYdJFfswuzz5--XBejr0Uyqic2pSxy6cs0anOqK6JSYfYIqSmCgakDY3t0DNBBxE13dVNro02peSsaOsESTxhB_2yh2eMJ9sGl4QAXYM0VWubiDwtGUodXRdEwd7uAPW3g2SGx1SDwPcEvifw_QB-wd4T4tM8ErvOD9AE_GgC_l8mULA39L88uST-lBjGmwW4XBK38gvpKCgrWRfs9Wzm9SDt_beJJ7OJ6HNxPrwzDT_6_NqTGaLhY8ZdsJfTML1JdWw9LLdrX1tHinfSqII9HSxp-nYkCtSXEkfMzMZm4MxH-m9fsyK4Ek4j8z76H2ges3sNUZdcnXTCDjarLTxH4rVpX2Qf-w04NyiW priority: 102 providerName: Directory of Open Access Journals – databaseName: Health & Medical Collection dbid: 7X7 link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV3di9QwEA_nCeLL4bfVUyKI4kPZtkmT5l6OVTwW4XzyYN9CvroKR7u32_Xjv3cm7dYtiq9NFrLT-fhNZ_IbQl5DFBcsM0WqRKFSLjlPTbAi9TituxIV9wYvJ19-Fosr_mlZLo_IYn8XBtsq9z4xOmrfOvxGPoNEBbmsIJ-ZGYtfAVw3O1_fpDg_CuuswzCNW-R2XgCsAM2WyzH14oiiI-uezFII4HlfsOR5xmbjM0gWGUeShYMAFXn8__bWB-Fq2kp5EJsu7pGTAVTSea8F98lRaB6QO5dD2fwhMXPatN_DNcUGcuzSCrT70aYADFeB7jYhzkoAGN39ooBh467r8JOuQwM-g-Jkj1ho2J7ROY0diHiOsKFh5El-RK4uPn75sEiH2QqpK1XZpa6OVRenylqWdeG8MM4Gb2RmZOCVKaoaLDUIw5zAu7teWVd571XFbO6DZ4_JcdM24SmhvrJGecaCyAOXma0KB7jNS0wlVW1YQt7tBarXPYWGhtQDha9R-BqFr3vhJ-Q9Snzch-TX8UG7WenBlrRRGSsNQCs4L-eusqWVWQ3QBVJLw3KfkLf4vjSaKCqKGW4awHGR7ErPucIgXfI8IW8mO1c91fe_Np5ONoINuunyXjX04AO2-o_GJuTVuIy_xL62JrS7rc4rhQx4XJYJedJr0vjfATjgnEpYkRMdmwhnutJ8-xoZwkumBCDxZ_8_1nNyt0CQEvuQTslxt9mFFwCxOvsyWs9vf80kMA priority: 102 providerName: ProQuest – databaseName: Scholars Portal Journals: Open Access dbid: M48 link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV3di9QwEA96gvgifls9JYIoPvRsm6_GF1nF4xDWJxfuLaRJugpLq92u3v33zqTdesXF12Za0ulM5zfM5DeEvIQoLllmi1TLQqdccZ7aUMnU47TuUpbcWzycvPwiz1b887k4_3s8elTg9mBqh_OkVt3m5OLn5XtweMCvJzzP2NtMqyyFsIzpHoOIc53cKDjjaO9LPtUUOCLpyLw3Sg9Fy4NPmAWpyOX_7x_7Ssiat1NeiU-nd8jtEVjSxWAJd8m10NwjN5dj6fw-sQvatL_ChmITOXZqBdr_blMAh-tAd12I8xIASveXFHBslNqECwrKgP8GxekesdiwfUcXNHYh4j5CR8PElfyArE4_ff14lo7zFVIntOhTV8fKi9OiVqIunJfWVcFblVkVeGmLsgZvDdIyJ_H8rteVK733umRV7oNnD8lR0zbhMaG-rKz2jAWZB66yqiwcYDevMJ3UtWUJebNXqPkx0GgYSD9Q-QaVb1D5ZlB-Qj6gxic5JMCOF9pubUZ_MlZnTFiAV7Bfzl1ZiUplNcAXSC8ty31CXuP3Mmg48FGcHU8bwHaR8MosuMZALXiekFczyfVA931I8HgmCH7o5st70zB7MzaQXiMDG2ThCXkxLeOd2NvWhHa3NXmpkQWPK5GQR4MlTe8O4AFnVcKKmtnYTDnzleb7t8gSLpiWgMaf_H_XT8mtAoFK7EU6Jkd9twvPAGb11fPoPX8AkXQiyQ priority: 102 providerName: Scholars Portal |
Title | A novel composite two-stage urethroplasty for complex penile strictures: A multicenter experience |
URI | https://www.ncbi.nlm.nih.gov/pubmed/28469305 https://www.proquest.com/docview/2115563254/abstract/ https://search.proquest.com/docview/1895273475 https://pubmed.ncbi.nlm.nih.gov/PMC5396405 https://doaj.org/article/a9035a639eda44c8b5b70f151104a31d |
Volume | 33 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3da9swEBdtB2MvY9_z1gUNxsYe3NiWbEl7S0tKGaSUsbK8CVmSs0LqhHy023-_O9kOMdvTXvwgnUHW6XS_s06_I-QDePGCJSaLVZGpmAvOY-PLInZYrVsWkjuDl5Mnl8XFNf86zacHJO_uwoSkfVvenNTz25P65mfIrVze2mGXJza8mpzlTBUANIaH5FAw1oXozfbLETAHgj2RxOCr0-ZskqcJG-7aIC5k4JqQCRj8r2JYvG7PLQX2_r_36D0n1U-g3PNI50_I4xZK0lEz5KfkwNfPyMNJe1j-nJgRrRd3fk4xbRxzszzd3C9igIMzT7crHyokAHje_KaAXIPU3P-iS1_DTkGxnkc4Xlh_oSMa8g5xHH5F_Y4d-QW5Ph9_P7uI24oKsc1VvoltFc5arMorkVeZdYWxpXdGJEZ4Lk0mK7BPXxhmC7yx61RppXNOSVamzjv2khzVi9q_JtTJ0ijHmC9Sz0VSyswCWnMCA0hVGRaRz92E6mVDnKEh4EA9aNSDRj3oRg8ROcUZ38kh5XVoWKxmulW8NiphuQFABePl3MoyL0VSAWCBgNKw1EXkE-pLo2GCUqxp7xfAcJHiSo-4Qtec8zQiH3uSs4bg-1-Cxz1BsDzb7-6Whm4tf60hoEbONYi7I_J-141vYjZb7RfbtU6lQt47LvKIvGpW0u7buwUZEdFbY73J6feAmQRe8NYs3vz3m2_JowxRS0hMOiZHm9XWvwPMtSkHYGlTMSAPTseXV98G4c8FPCdcDoL1wfMHG_8B8h0uxA |
link.rule.ids | 230,315,733,786,790,870,891,2115,2236,12083,21416,24346,27957,27958,31754,31755,33779,33780,43345,43840,53827,53829,74102,74659 |
linkProvider | National Library of Medicine |
linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1Lj9QwDI5gkYAL4rkUFggSAnGItm3SJuGCBsRqgJ097Upzi9IkHZBW7TAPHv8eO-2UqUBcG1dKnTj-XDufCXkBXrzkqc2ZLnPNhBSC2VCVzGO3blUq4S1eTp6dldML8WlezPsfbuu-rHJ3JsaD2rcO_5EfQ6CCXFYQz7xdfmPYNQqzq30LjavkmuBcYEmfnA8Bl0DsHLn2ZMrAbWddmlJkKT8enkGIyAVSK-y5pcje__cZveekxgWUex7p5Da51UNJOunW_g65Epq75PqsT5bfI3ZCm_Z7uKRYNo61WYFufrQM4OAi0O0qxA4JAJ43vygg1yh1GX7SZWjgpKDYzyOmF9Zv6ITGukOcR1jRMLAj3ycXJx_O309Z31GBuUIXG-bqmGtxuqhlUefOl9ZVwVuZWhmEsrmqwT5Dabkr8cau15VT3nuteJX54PkDctC0TXhIqFeV1Z7zUGZByLRSuQO05iUGkLq2PCGvdwo1y444w0DAgco3qHyDyjed8hPyDjU-yCHldXzQrhamtyBjdcoLC4AK5iuEU1VRybQGwAIBpeWZT8grXC-DhgmL4mx_vwCmixRXZiI0uuZCZAl5OZJcdATf_xI8GgmC5bnx8G5rmN7y1-bPPk3I82EY38Rqtia027XJlEbeOyGLhBx2O2n4doAL2J0SRuRoj42UMx5pvn6JvOAF1yXg70f_n9YzcmN6Pjs1px_PPj8mN3OEKbES6YgcbFbb8ARA1qZ6Gi3pN4A5I2M |
linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1Zj9MwELZgV1rxgrgJLGAkBOIhahIfiXlBXdhqObZaIVbaN8uxnYK0SkoPjn_PjOOWRiBeY0dyJ3N80xl_Q8gziOKSZaZIlSxUykvOU-NrmTqc1l3JijuDl5NPp_LknL-_EBex_2kZ2yo3PjE4atdZ_I98BIkKcllBPjNqYlvE2dvJ6_m3FCdIYaU1jtO4SvZLLgVo-P7R8fTs08Yvc0TSgXmvzFII4nlftOR5xkbbZ5AwMo5ECztBKnD5_-2xd0LWsJ1yJz5NbpDrEVjSca8JN8kV394iB6exdH6bmDFtu-_-kmITOXZqebr60aUADmeerhc-zEsAKL36RQHHhl2X_ied-xb8BsXpHqHYsHxFxzR0IeI5_IL6LVfyHXI-Of785iSN8xVSK5RYpbYJlRerRFOKprBOGlt7Z8rMlJ5XpqgasFYvDbMS7-86VdvKOacqVufOO3aX7LVd6-8T6qraKMeYl7nnZVZXhQXs5kpMJ1VjWEJebgSq5z2Nhob0A4WvUfgaha974SfkCCW-3YcE2OFBt5jpaE_aqIwJA_AKzsu5rWpRl1kD8AXSS8Nyl5AX-L00mil8FGvibQM4LhJe6TFXGKgFzxPyfLBz1tN9_2vj4WAj2KEdLm9UQ0c_sNR_tDYhT7fL-Cb2trW-Wy91XilkweOlSMi9XpO2vx3AA86qhJVyoGMD4QxX2q9fAku4YEoCGn_w_2M9IQdgRvrju-mHh-RagZgltCUdkr3VYu0fAeJa1Y-jKf0GWT8pBg |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=A+novel+composite+two-stage+urethroplasty+for+complex+penile+strictures%3A+A+multicenter+experience&rft.jtitle=Indian+journal+of+urology&rft.au=Joshi%2C+Pankaj&rft.au=Barbagli%2C+Guido&rft.au=Batra%2C+Vikram&rft.au=Surana%2C+Sandesh&rft.date=2017-04-01&rft.pub=Medknow+Publications+and+Media+Pvt.+Ltd&rft.issn=0970-1591&rft.eissn=1998-3824&rft.volume=33&rft.issue=2&rft.spage=155&rft_id=info:doi/10.4103%2F0970-1591.203426&rft.externalDocID=A490067541 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0970-1591&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0970-1591&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0970-1591&client=summon |