What is the best way to perform a urethrolysis? Always With martius flap? With or without synthetic sling (to prevent urinary incontinence)?

José Ananias Vasconcelos Neto @Jose-Vasconcelos-Neto

01 January 1970 1 2K Report

What is the best way to perform a urethrolysis? With or without martius flap? With or without synthetic sling (to prevent urinary incontinence)?

Arnaud Doerfler

There are 2 ways to perform an urethrolysis: abdominal and/or vaginal approach.

The best way depends on the reason why you have to perform it.

In my opinion there are only few indications for urethrolysis nowadays.

Is it for a cyst? a diverticule? or something like this? so you have to choose vaginal approach.

Is it for a AUS implantation? Choose the abdominal approach (open or laparoscopic).

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