Phallic construction/reconstruction represents one of the most challenging areas of surgery. The multiplicity of aesthetic, functional, and structural problems set this field apart from most other areas of reconstructive surgery. Described herein is a procedure for total phallic construction in a single stage. The procedure utilizes a combination of local muscle or myocutaneous flaps and free microvascular transfer flaps. The procedure results in a cosmetically acceptable phallus which has erogenous sensibility. Erectile function currently is obtained by the implantation, in a separate stage, of an erectile prosthesis.

Vascular problems in urologic surgery Andrew C. Novick and Ralph A. Straffon, eds. Philadelphia, 1982, WB Saunders Co., 361 pages, $49.95. Drs. Novick and Straffon, each of whom has had much experience in renovascular and transplant surgery at The Cleveland Clinic, have written several chapters in Vascular Problems in Urologic Surgery and have organized the work of 20 contributing authors. The book is arranged in five parts of four or five chapters each. The first part concerns the basics of vascular surgery and the specific techniques available for evaluation of renal vasculature and blood flow as well as the mechanics of renal preservation. The second part deals with renal surgery with emphasis on its vascular aspects. The third part discusses the evaluation and treatment of diseases of the renal arteries and veins including renovascular hypertension. The fourth part covers the details of renal transplantation, and the final part explains microvascular techniques and their application to genitourinary surgery. This book is well planned and is for the most part well written. It shares the weakness of inconsistency with many current textbooks that are edited by few, but written by many. I recommend this work to the urologist, who performs vascular surgery, to refresh his knowledge and techniques. The book will also be useful to the vascular surgeon who may be a consultant to the urologist who does not perform vascular surgery.

No AccessJournal of UrologyGuest Editorial1 Apr 1980Urethral Strictures Charles J. Devine, and Patrick C. Devine Charles J. DevineCharles J. Devine More articles by this author , and Patrick C. DevinePatrick C. Devine More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)55992-3AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail "Urethral Strictures." The Journal of Urology, 123(4), p. 506 © 1980 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByLenzi R, Barbagli G and Stomaci N (2018) One-Stage Skin Graft Urethroplasty in Anterior Middle Urethra: A New ProcedureJournal of Urology, VOL. 131, NO. 4, (660-663), Online publication date: 1-Apr-1984.Lenzi R, Barbagli G, Stomaci N and di Cello V (2018) Free Full Thickness Skin Graft Urethroplasty: Indications, Technique and ResultsJournal of Urology, VOL. 128, NO. 5, (938-942), Online publication date: 1-Nov-1982. Volume 123Issue 4April 1980Page: 506 Advertisement Copyright & Permissions© 1980 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Charles J. Devine More articles by this author Patrick C. Devine More articles by this author Expand All Advertisement Loading ...

Secondary reconstruction of anterior urethral injuries should be delayed for 6 to 12 weeks after injury. Traumatic strictures of the urethra are repaired by application of full-thickness skin grafts by either incision of the stricture and patch graft or by excision of the urethra and tube graft, depending on the density of the urethral scar or defect.

Urethral injuries below the urogenital diaphragm may result from external trauma or instrumentation. The most severe complication is the development of a urethral stricture. Proper care of the acute injury will diminish this possibility. In the hands of an experienced perineal surgeon repair of the externally traumatized urethra should consist of urethral debridement, mobilization, spatulation, and primary anastomosis. If an experienced surgeon is not immediately available, a suprapubic tube should be placed after draining the perineum. When major injuries occur requiring life-saving procedures and immediate care of other problems, the urine should be diverted with a suprapubic tube and urethral repair carried out later.

No AccessJournal of Urology1 Dec 1970Advancing V-Flap Modification for the Dismembered Pyeloplasty Charles J. Devine, Patrick C. Devine, and Anthony R. Prizzi Charles J. DevineCharles J. Devine More articles by this author , Patrick C. DevinePatrick C. Devine More articles by this author , and Anthony R. PrizziAnthony R. Prizzi More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)61842-1AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail © 1970 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByPALMER L, PROANO J and PALMER J (2018) RENAL PELVIS CUFF PYELOPLASTY FOR URETEROPELVIC JUNCTION OBSTRUCTION FOR THE HIGH INSERTING URETER: AN INITIAL EXPERIENCEJournal of Urology, VOL. 174, NO. 3, (1088-1090), Online publication date: 1-Sep-2005.Perlmutter A, Kroovanu R and Lai Y (2018) Management of Ureteropelvic Obstruction in the First Year of LifeJournal of Urology, VOL. 123, NO. 4, (535-536), Online publication date: 1-Apr-1980. Volume 104Issue 6December 1970Page: 810-816 Advertisement Copyright & Permissions© 1970 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Charles J. Devine More articles by this author Patrick C. Devine More articles by this author Anthony R. Prizzi More articles by this author Expand All Advertisement PDF DownloadLoading ...