Reconstructive Urology

Question 1

Recommend storage volume for orthotopic neobladder

Answer 1

400-500cc

Question 2

Urinary continence mechanism for orthotopic neobladders

Answer 2

rhabdosphincter

Question 3

Most definitive long term solution for uretero-enteric structures

Answer 3

surgical repair

must rule out malignancy

Question 4

Options for first time bulbar urethral strictures <2 cm

Answer 4

Dilation

DVIU

Question 5

Success rate of short bulbar strictures

Answer 5

50%

Question 6

Operative recommendation for short bulbar strictures < 2 cm

Answer 6

excision and primary anastomosis.

Longer strictures or any penile strictures require graft or flap.

Question 7

Stages of graft intake

Answer 7

1. first 48 hours: imbibition–> graft receives nutrients through diffusion.
2. Inosculation: Next 48 hours–> graft vessels connect with recipient bed vessels.
3. neovascularization 4-6 days`