Understanding Bulbar Urethroplasty Risks with Dr. Margit Fisch, MD, FEAPU, FEBU скачать в хорошем качестве

Understanding Bulbar Urethroplasty Risks with Dr. Margit Fisch, MD, FEAPU, FEBU

Margit Fisch, MD, FEAPU, FEBU, explores the critical aspects of informing patients before urethroplasty. In this 19-minute presentation, Dr. Fisch details various surgical techniques and possible complications. Dr. Fisch gives an overview of one-stage transecting techniques, such as end-to-end anastomosis, and augmented anastomotic repair with a graft, an option for longer segments. Non-transecting techniques and graft augmentation methods offer alternatives. Two-stage or multi-stage procedures may be required, and intraoperative findings often influence surgical plans. She reviews surgical complications, though generally rare, including bleeding, catheter-related issues, and lithotomy position-related risks such as deep vein thrombosis or compartment syndrome. Early postoperative complications include urinary tract infections, perioperative transfusions, and wound infections. Dr. Fisch shares long-term outcomes for different procedures, including post-void dribbling, erectile dysfunction, penile shortening, and sensory disturbances. Despite complications, most patients report high satisfaction, reinforcing the need for preoperative counseling on expected functional outcomes. Don't forget to join the GRU Community: https://grandroundsinurology.com/regi... Follow us on Twitter/X: https://x.com/GRUrology And like and subscribe to us here on YouTube!