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[VP-029]Heineke Mikulicz Urethroplasty with Short-Segment Urethral StrictureAbdulmuttalip Şimşek, Kamil Gökhan Şeker, Yunus Çolakoğlu, Coşkun Hüseynov, Fatih Akkaş, Mithat Ekşi, Mustafa Gürkan Yenice, Selçuk Şahin, Volkan TuğcuIntroduction In this video presentation, we would like to share with you the case of heineke mikulicz urethroplasty in a patient with presfincteric short segment urethral stricture. Case Report 67 years old male patient presented with complaints of urination. The patient had a TUR-P story 5 years ago and he stated that his complaints had begun seven months after that operation. He had 3 times a story of internal urethrotomy. The uroflowmetry showed Qmax was 6,8 ml/sec and the average urinary flow rate was 2,3 ml/sec. The uroflowmetry was found to be stenosis pattern. Cystourethroscopy showed that stenosis was almost closed the %80 percent of the urethral lumen. Retrograde urethrography showed presphincteric stenosis area. Heineke mikulicz urethroplasty operation was performed. Postoperative uroflowmetry showed Qmax was 23 ml/sec and Qaverage was 11,3 ml/sec. No stenosis or pathology was observed in the urethra and anastomosis line in the cystourethroscopy performed at the 2nd and 4th months postoperatively. Discussion Urethral strictures are one of the most difficult urological diseases to manage. Because urethroplasty technique in urethral strictures is less likely to have recurrence and long-term outcomes are much better, As well as a superior technique due to the significant improvement in symptoms in the early postoperative period. Conclusion In cases of short posterior urethral stricture requiring frequent endoscopic operation due to frequent recurrence, urethroplasty with heineke mikulicz urethroplasty technique with a perineal approach to improve ultimate and patient comfort is an effective and gold standard method to prevent recurrent urethrotomy and catheterization. |