Surgical Insights: Repairing Damaged Urethral Sphincters Repairing a damaged urethral sphincter is a difficult task, especially in patients who have previously undergone various benign prostatic hyperplasia (BPH) surgeries like transurethral resection of the prostate (TURP), holmium laser enucleation of the prostate (HoLEP), or transurethral incision of the prostate (TUIP). New evidence has shown that modified ventral onlay graft urethroplasty is an efficient procedure in the treatment of sphincteric-urethral strictures associated with these surgeries.
The ventral grafting method modified in this study describes the implantation of cystocele Graft material similar to that used in many other-population studies for sphincteric reconstruction. Since this method is less aggressive with tissue around it there are less traumas and thus, better healing.urethral repair (ad) This technique has shown significant improvement in urodynamic parameters and continence status of patients, allowing to consider as a solution to these troubles on post-BPH surgery complications.
It is also important to know how the BPH procedures stack up against one another in terms of effectiveness. While TURP is still considered the standard, alternative methods have become increasingly popular due to superior safety and quicker patient recovery for other options such as HoLEP. The effects on postoperative urinary function differ for each procedure — TURP has high rates of urinary incontinence, whereas HoLEP and TUIP are associated with lower risks of complications.
In conclusion, our use of modified ventral onlay graft urethroplasty seems to provide an advance in the surgical solutions for the correction of impaired weakened or damaged urethral sphincter function after BPH surgery. In addition to correcting the structural issue, this solution improves urinary control and well-being of patients.
