Augmented Anastomotic Urethroplasty

This chapter offers practicing and trainee urologists succinct and precise operative dictations for artificial urinary sphincter, discussing the indications, alternatives, benefits, and risks with the patient. The three components of the artificial urinary sphincter were appropriately prepared according to the manufacturer's specifications and soaked in sterile normal saline/antibiotic solution. Rubber-shod hemostats were used on the tubing to avoid inadvertent injury to the device. Having completed the artificial urinary sphincter placement, hemostasis was obtained and the self-retaining retractor was removed. The perineal wound was irrigated with warm sterile normal saline and closed using a running 3-0 Vicryl suture to approximate the bulbospongiosus muscle and a 3-0 chromic suture for Colles' fascia. Interrupted 3-0 chromic sutures were used on the skin. The inguinal incision was closed using running 3-0 chromic and 4-0 poliglecaprone (Monocryl) sutures to approximate Scarpa's fascia and the subcuticular layer, respectively.