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Re: Management and Outcomes of Penile Fracture: 10 Years' Experience from a Tertiary Care Center
MALE AND FEMALE SEXUAL FUNCTION AND DYSFUNCTION; ANDROLOGY
The last objection I would like to raise is patient preference. When we query our patients about their impressions and preferences after urethroplasty, most who have buccal grafts are bothered by the mouth harvesting more than the perineal dissection and uniformly would have preferred to have had the procedure performed without the oral surgery component. Likewise, those with intermediate length strictures are uniformly pleased when they wake up to find that we did not need a graft. I compliment the authors on their beautiful article and video, which includes many helpful surgical tips. Clearly ventral application of oral mucosa graft is a mainstay in the reconstructive armamentarium. However, as good as it is, we must avoid a “cookbook” approach and recognize the limitations of this method while offering our patients the procedure that gives the highest chance of success. Allen F. Morey, MD
Male and Female Sexual Function and Dysfunction; Andrology Re: Management and Outcomes of Penile Fracture: 10 Years’ Experience from a Tertiary Care Center € zel and A. Kos¸ar A. Ozorak, M. B. Hos¸can, T. Oksay, A. Gu € Department of Urology, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey Int Urol Nephrol 2013; Epub ahead of print.
Abstract available at http://jurology.com/ Editorial Comment: These data continue to support the concept of early intervention, ie surgical repair, for penile fracture. The 10-year followup data in this study demonstrate a lack of erectile dysfunction, penile curvature or pain following surgical repair. Thus, penile fractures should be treated aggressively and emergently. Allen D. Seftel, MD
Laparoscopy/New Technology Re: Increased Intra-Abdominal Fat Predicts Perioperative Complications Following Minimally Invasive Partial Nephrectomy M. A. Gorin, J. K. Mullins, P. M. Pierorazio, G. Jayram and M. E. Allaf James Buchanan Brady Urological Institute, Johns Hopkins Medical Institutions, Baltimore, Maryland Urology 2013; 81: 1225e1230.
Abstract available at http://jurology.com/ Editorial Comment: Unlike open partial nephrectomy, where the perinephric fat can be removed to improve exposure and enlarge the working space, in laparoscopic and robotic partial nephrectomy this is not a reasonable option. As such, in patients who have a lot of perinephric fat several steps of the procedure are more difficult, including hilar exposure, kidney manipulation, tumor resection and
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The last objection I would like to raise is patient preference. When we query our patients about their impressions and preferences after urethroplasty, most who have buccal grafts are bothered by the mouth harvesting more than the perineal dissection and uniformly would have preferred to have had the procedure performed without the oral surgery component. Likewise, those with intermediate length strictures are uniformly pleased when they wake up to find that we did not need a graft. I compliment the authors on their beautiful article and video, which includes many helpful surgical tips. Clearly ventral application of oral mucosa graft is a mainstay in the reconstructive armamentarium. However, as good as it is, we must avoid a “cookbook” approach and recognize the limitations of this method while offering our patients the procedure that gives the highest chance of success. Allen F. Morey, MD
Male and Female Sexual Function and Dysfunction; Andrology Re: Management and Outcomes of Penile Fracture: 10 Years’ Experience from a Tertiary Care Center € zel and A. Kos¸ar A. Ozorak, M. B. Hos¸can, T. Oksay, A. Gu € Department of Urology, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey Int Urol Nephrol 2013; Epub ahead of print.
Abstract available at http://jurology.com/ Editorial Comment: These data continue to support the concept of early intervention, ie surgical repair, for penile fracture. The 10-year followup data in this study demonstrate a lack of erectile dysfunction, penile curvature or pain following surgical repair. Thus, penile fractures should be treated aggressively and emergently. Allen D. Seftel, MD
Laparoscopy/New Technology Re: Increased Intra-Abdominal Fat Predicts Perioperative Complications Following Minimally Invasive Partial Nephrectomy M. A. Gorin, J. K. Mullins, P. M. Pierorazio, G. Jayram and M. E. Allaf James Buchanan Brady Urological Institute, Johns Hopkins Medical Institutions, Baltimore, Maryland Urology 2013; 81: 1225e1230.
Abstract available at http://jurology.com/ Editorial Comment: Unlike open partial nephrectomy, where the perinephric fat can be removed to improve exposure and enlarge the working space, in laparoscopic and robotic partial nephrectomy this is not a reasonable option. As such, in patients who have a lot of perinephric fat several steps of the procedure are more difficult, including hilar exposure, kidney manipulation, tumor resection and
695