(urethral stricture) estrechez uretral. clase
TRANSCRIPT
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Estrechez uretralEstrechez uretral
Dr. Javier BelinkyDr. Javier Belinky
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AnatomiaAnatomia
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CausasCausas
CongenitaCongenita AdquiridaAdquirida
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CongénitaCongénita
• Valvula uretral posterior
• Estrecheces congenitas
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Válvulas de uretra posteriorVálvulas de uretra posterior
• Las válvulas de uretra Las válvulas de uretra posterior:posterior:
son pliegues mucosos son pliegues mucosos con aspecto de con aspecto de membranas delgadas, membranas delgadas, que pueden causar que pueden causar grados variables de grados variables de obstrucción en la obstrucción en la micciónmicción
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Estrecheces congénitasEstrecheces congénitas
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AdquiridasAdquiridas
• TraumaTrauma– Propiamente dichoPropiamente dicho– IatrogeniaIatrogenia
• InfecciosoInfeccioso
• BxoBxo
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Uretra posteriorUretra posterior
• Politrauma (fx pelvis)Politrauma (fx pelvis)
• Instrumental (cx prostatica)Instrumental (cx prostatica)– ProstatectomiaProstatectomia– AdenomectomiaAdenomectomia– Reseccion transuretralReseccion transuretral
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Uretra bulbarUretra bulbar
• TraumaticoTraumatico– IatrogeniaIatrogenia– Caída a horcajadasCaída a horcajadas– Sonda vesicalSonda vesical
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Uretra péndulaUretra péndula
• InfecciosoInfeccioso
• TraumaticoTraumatico
• BXOBXO
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EstudiosEstudios
• Uretrografía
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EstudiosEstudios
• CistofibroscopíaCistofibroscopía
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FlujometríaFlujometría
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TratamientoTratamiento
• ManejoManejo– DilatacionDilatacion– Uretrotomia internaUretrotomia interna– StentStent
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TratamientoTratamiento
• Tratamiento (reconstrucción)Tratamiento (reconstrucción)– Resección y anastomosis primariaResección y anastomosis primaria– Colgajos e injertosColgajos e injertos– MeatotomíaMeatotomía
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TratamientoTratamiento
– Meato perineal– Talla vesical