specialists | Urethralstricture-Therapy

Prof. Dr. med. Dirk Fahlenkamp - Zeisigwaldkliniken Bethanien Chemnitz

Zeisigwaldstraße 101, 09130 Chemnitz

0371/43017500371/4301750

urologie@bethanien-sachsen.de

http://www.bethanien-chemnitz.de/

The cost for urethral reconstruction using tissue engineered oral mucosa will be covered. Prof. ...

Dr. Roberto Olianas - Städtisches Klinikum Lüneburg

Bögelstraße 1, 21339, Lüneburg, Deutschland

04131 77229104131 772291

04131 77 2777

urologie@klinikum-lueneburg.de

http://www.klinikum-lueneburg.de/urologie-sprec...

The cost for urethral reconstruction using tissue engineered oral mucosa will be covered.

Prof. H. Knispel - St. Hedwig-Krankenhaus

Große Hamburger Straße 5, 10115 Berlin

030/23112509030/23112509

info@alexianer.de

http://www.alexianer.de/

Prof. Dr. med. H. Knispel – Saint Hedwig-Krankenhaus – is specialist for urology and head of depa...

Dr. B. Stürzebecher - Urologische Praxis

Bölschestraße 65, 12587 Berlin

030/6452817030/6452817

Dr. B. Stürzebecher – Urological practise - urethral strictures successfully treat! The human ure...

Dr. U. Kiesow - Kath. Marienkrankenhaus

Alfredstraße 9, 22087 Hamburg

040 2546 2441040 2546 2441

kiesow-uro@marienkrankenhaus.org

http://www.marienkrankenhaus.org

Dr. U. Kiesow is chief resident at urology clinic of the Catholic Marien-Hospital Hamburg - He kn...

Prof. Dr. med. habil. Udo Rebmann - Diakonissenkrankenhaus

Gropiusallee 3, 06846 Dessau-Roßlau

0340 650221300340 65022130

http://www.dkd-dessau.de/

The cost for urethral reconstruction using tissue engineered oral mucosa will be covered. Pro...

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Empfehlung1

Urethral reconstruction with cells of the oral mucosa

Advantages: (+):

- very good healing chances
- gentle and state-of-the-art treatment procedure
- no extraction of mucoperiosteal flap
- officially approved pharmaceutical product for innovative therapies

Disadvantages (-):

- available in a limited number of hospitals to date

Urethral reconstruction using oral mucosa

Advantages (+):

- very good healing chances

Disadvantages (-):

- large scale extraction of oral mucosa
- often scar tissue in the mouth
- can limit the flexibility of the lower lip,
- can lead to numbness in the oral, cheek and lip region,
- can lead to changes in facial expression or problems with speaking and drinking,
- can lead to increased salivation
- prolonged time of surgery due to two surgical procedures on the urethra and the mouth,
- risk of damage to the front of the salivary glands
- in case of relapse there is not enough oral mucosa tissue left, or oral mucosa needs to be extracted from the already scared / injured oral cavity
- the procedure has not been tested with independent, prospective studies
- many doctors lack the skills for oral surgery, urologists usually do not receive training for surgeries in the oral area.

methode3

Urethral dilation
Urethral sounding

Advantages (+):

- possibility for outpatient treatment without anesthesia

Disadvantages (-):

- very high probability for relapse and complications
- the procedure requires regular repetitions
- repeat procedures worsen the clinical picture and lead to long stretches of strictures
- long-term healing chances get worse with every procedure

Methode4

Incision of the urethra (urethrotomy)

Advantages (+):

- simple procedure
- ater first-time appearance of the disease this procedure is indicated

Disadvantages (-):

- probability for relapse lies with 70 % - 100 %,
- every incision in the scarred urethra will lead to a new scar with another stricture which in turn leads to even longer and bigger scarring,
- it will be more and more difficult to create a tube / an opening for the urine flow with scarred tissue,
- the clinical picture gets worse with every procedure
- repeat incisions can lead to irreversible damage of the urethra.

Urethral reconstruction with cells of the oral mucosa

Urethral reconstruction using oral mucosa

Urethral dilation Urethral sounding

Incision of the urethra (urethrotomy)

Urethral dilation
Urethral sounding