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您的检索式：作者名="Christopher J.Hillary"
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| 1 | Current trends in urethral stricture management显示文摘The recent International Consultation on Urological Disease(ICUD)panel 2010 confirmed that a urethral stricture is defined as a narrowing of the urethra consequent upon ischaemic spongiofibrosis,as distinct from sphincter stenoses and a urethral disruption injury.Whenever possible,an anastomotic urethroplasty should be performed because of the higher success rate as compared to augmentation urethroplasty.There is some debate currently regarding the critical stricture length at which an anastomotic procedure can be used,but clearly the extent of the spongiofibrosis and individual anatomical factors(the length of the penis and urethra)are important,the limitation for this being extension of dissection beyond the peno-scrotal junction and the subsequent production of chordee.More recently,there has been interest in whether to excise and anastomose or to carry out a stricturotomy and reanastomosis using a Heineke-Miculicz technique.Augmentation urethroplasty has evolved towards the more extensive use of oral mucosa grafts as compared to penile skin flaps,as both flaps and grafts have similar efficacy and certainly the use of either dorsal or ventral positioning seems to provide comparable results.It is important that the reconstructive surgeon is well versed in the full range of available repair techniques,as no single method is suitable for all cases and will enable the management of any unexpected anatomical findings discovered intra-operatively. | Christopher J.Hillary Nadir I.Osman Christopher R.Chapple | 2014 | Asian Journal of Urology2014，1，1： | 3 |
| 2 | The choice of surgical approach in the treatment of vesico-vaginal fistulae显示文摘Vesico-vaginal fistula is a global healthcare problem that has a high prevalence in sub-Saharan Africa,where obstetric complications lead to the development of this condition.Despite this,comparatively few fistula repairs are performed in well-resourced countries,where iatrogenic injury is the leading aetiological factor.As a consequence,much of our knowledge results from the experience of relatively few fistula surgeons in areas of high prevalence borne out of large case series or retrospective cohorts rather than high level evidence.At present,debate surrounds the exact timing of repair and the most appropriate surgical approach for this condition.Certain fistulae can be selected for conservative management,while those that do not demonstrate factors associated with spontaneous closure can be selected for surgery.Fistula surgeons should be aware of several potential repair options and the principles of contemporary fistula surgery,as the first attempt at repair is likely to be the best opportunity to achieve a successful outcome.We review the available literature and provide evidence on the optimal timing of repair,the appropriate surgical approach and the use of tissue interpositioning in fistula surgery. | Christopher J.Hillary Christoper R.Chapple | 2018 | Asian Journal of Urology2018，5，3： | 2 |
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