This protocol addresses male patients with an obliterative vesico-urethral anastomosis (VUA) stricture — a complete obliteration at the anastomotic site where the bladder and urethra meet.
Complete obliteration of the vesico-urethral anastomosis rules out endoluminal approaches. Surgical reconstruction is the indicated pathway for these patients.
The management approach involves redo vesico-urethral anastomosis. The operative route is chosen based on the patient's pre-operative clinical status — full criteria and the structured selection algorithm are in the complete protocol.
Specific patient-selection details, approach criteria, and the complete regimen are available via the link below.Do not perform endoluminal treatment in case of VUAS, BMS and BNS with complete obliteration.
Perform ReDo vesico-urethral anastomosis (VUA) in non-irradiated patients and irradiated patients with adequate bladder function with obliterative vesico-urethral anastomosis stricture or vesico-urethral anastomosis stricture refractory to endoluminal treatment.
Offer ReDo VUA by retropubic approach if the patient is pre-operatively continent.
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