Urethral Stricture Associated With an Artificial Urethral Sphincter: A Case Report
ABSTRACT Introduction Artificial urinary sphincter implantation is the standard treatment for moderate‐to‐severe stress urinary incontinence in men. We report a case of urethral stricture associated with an artificial urinary sphincter in a patient who underwent urethroplasty and subsequent replacem...
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| Format: | Article |
| Language: | English |
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Wiley
2025-07-01
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| Series: | IJU Case Reports |
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| Online Access: | https://doi.org/10.1002/iju5.70049 |
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| author | Akira Tachibana Kazumasa Torimoto Daisuke Gotoh Kenta Onishi Shunta Hori Yosuke Morizawa Yasushi Nakai Makito Miyake Nobumichi Tanaka Kiyohide Fujimoto |
| author_facet | Akira Tachibana Kazumasa Torimoto Daisuke Gotoh Kenta Onishi Shunta Hori Yosuke Morizawa Yasushi Nakai Makito Miyake Nobumichi Tanaka Kiyohide Fujimoto |
| author_sort | Akira Tachibana |
| collection | DOAJ |
| description | ABSTRACT Introduction Artificial urinary sphincter implantation is the standard treatment for moderate‐to‐severe stress urinary incontinence in men. We report a case of urethral stricture associated with an artificial urinary sphincter in a patient who underwent urethroplasty and subsequent replacement of the implant. Case Presentation A 64‐year‐old man who had undergone radical retropubic prostatectomy presented to our department for stress urinary incontinence. An artificial urinary sphincter was implanted, and the incontinence resolved. Eleven years later, the patient returned because of voiding symptoms. Urethroscopy and retrograde urethrography revealed a pendulous urethral stricture, measuring approximately 2 mm in length. The patient underwent implant removal and non‐transecting anastomotic urethroplasty. Postoperative urethroscopy confirmed resolution of the stricture. Artificial urinary sphincter reimplantation was performed 6 months later, restoring continence. Conclusion Non‐transecting urethroplasty to treat short urethral strictures associated with an artificial urinary sphincter may increase the success of artificial sphincter replacement. |
| format | Article |
| id | doaj-art-b5cdc6baa5f946bcafbd93944784fa27 |
| institution | OA Journals |
| issn | 2577-171X |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | IJU Case Reports |
| spelling | doaj-art-b5cdc6baa5f946bcafbd93944784fa272025-08-20T02:38:09ZengWileyIJU Case Reports2577-171X2025-07-018439039310.1002/iju5.70049Urethral Stricture Associated With an Artificial Urethral Sphincter: A Case ReportAkira Tachibana0Kazumasa Torimoto1Daisuke Gotoh2Kenta Onishi3Shunta Hori4Yosuke Morizawa5Yasushi Nakai6Makito Miyake7Nobumichi Tanaka8Kiyohide Fujimoto9Department of Urology Nara Medical University Kashihara Nara JapanDepartment of Urology Nara Prefecture General Medical Center Nara Nara JapanDepartment of Urology Nara Medical University Kashihara Nara JapanDepartment of Urology Nara Medical University Kashihara Nara JapanDepartment of Urology Nara Medical University Kashihara Nara JapanDepartment of Urology Nara Medical University Kashihara Nara JapanDepartment of Urology Nara Medical University Kashihara Nara JapanDepartment of Urology Nara Medical University Kashihara Nara JapanDepartment of Urology Nara Medical University Kashihara Nara JapanDepartment of Urology Nara Medical University Kashihara Nara JapanABSTRACT Introduction Artificial urinary sphincter implantation is the standard treatment for moderate‐to‐severe stress urinary incontinence in men. We report a case of urethral stricture associated with an artificial urinary sphincter in a patient who underwent urethroplasty and subsequent replacement of the implant. Case Presentation A 64‐year‐old man who had undergone radical retropubic prostatectomy presented to our department for stress urinary incontinence. An artificial urinary sphincter was implanted, and the incontinence resolved. Eleven years later, the patient returned because of voiding symptoms. Urethroscopy and retrograde urethrography revealed a pendulous urethral stricture, measuring approximately 2 mm in length. The patient underwent implant removal and non‐transecting anastomotic urethroplasty. Postoperative urethroscopy confirmed resolution of the stricture. Artificial urinary sphincter reimplantation was performed 6 months later, restoring continence. Conclusion Non‐transecting urethroplasty to treat short urethral strictures associated with an artificial urinary sphincter may increase the success of artificial sphincter replacement.https://doi.org/10.1002/iju5.70049artificial urinary sphincterHeineke–Mikulicz principlenon‐transectingurethral strictureurethroplasty |
| spellingShingle | Akira Tachibana Kazumasa Torimoto Daisuke Gotoh Kenta Onishi Shunta Hori Yosuke Morizawa Yasushi Nakai Makito Miyake Nobumichi Tanaka Kiyohide Fujimoto Urethral Stricture Associated With an Artificial Urethral Sphincter: A Case Report IJU Case Reports artificial urinary sphincter Heineke–Mikulicz principle non‐transecting urethral stricture urethroplasty |
| title | Urethral Stricture Associated With an Artificial Urethral Sphincter: A Case Report |
| title_full | Urethral Stricture Associated With an Artificial Urethral Sphincter: A Case Report |
| title_fullStr | Urethral Stricture Associated With an Artificial Urethral Sphincter: A Case Report |
| title_full_unstemmed | Urethral Stricture Associated With an Artificial Urethral Sphincter: A Case Report |
| title_short | Urethral Stricture Associated With an Artificial Urethral Sphincter: A Case Report |
| title_sort | urethral stricture associated with an artificial urethral sphincter a case report |
| topic | artificial urinary sphincter Heineke–Mikulicz principle non‐transecting urethral stricture urethroplasty |
| url | https://doi.org/10.1002/iju5.70049 |
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