Galerie
Slide shows
| Differenziertes Krafttraining | |
| Blum: Kinesiologische Analyse | |
| Unterkiefer | |
| Ren mobilis (Die Wanderniere) |
Schriftliches
;)
| Title | Anastomotic Urethroplasty (AU) |
| Technique | Pencil / Watercolour / Computer |
| Author | Prof. Dr. Anthony R. Mundy, The Institute of Urology, London, UK |
| Publication | British Journal of Urology International (BJUI) |
| Publisher | Blackwell-Wiley Publishing 2005 |
| close window | |
| Figure 1 | Midline perineal incision, deepened onto the bulbospongiosus muscle, which is reflected off the bulbar urethra and retracted out of the way |
| Figure 2 | The urethra is transsected through the side of obliteration, trimmed back to healthy tissue and spatulated, dorsally on one side and ventally on the other |
| Figure 3 | If the ventral midline between the corpora is incised, the reconstructed urethra can lie tension free within the inter-crural plane |
| Figure 4 | If not: opening of the intercrural plane as far distally as possible and managment of the deep dorsal vein |
| Figure 5 | Creation of a channel through the pubic bone with a double-action bone nibbler |
| Figure 6 | After mobilisation the crus of the penis and its neurovascular structures are retracted medially to expose the inferior pubic ramus |
| Figure 7 | Some more bone from above is gouged out to connect with the inferior pubectomy already created from below |
| Figure 8 | The urethra is passed through the bony channel for an anastomosis made with six 5/0 polyglactin sutures, placed and tied in the 'parachute' style |
| Figure 9 | Tying of the last urethral suture |
| close window | |