The Reconstructive Urology Unit at Shohada-e-Tajrish Hospital (RUDTH), affiliated with Shahid Beheshti University of Medical Sciences, is recognized as the first and foremost subspecialty center for reconstructive urology in Iran. For over 30 years, this unit has served as the national referral center for urethroplasty, providing care to complex and challenging cases from across Iran, neighboring countries, and even parts of Europe. Many of these patients have previously undergone unsuccessful procedures and are now treated at this center based on international standards.

The unit is led by Professor Jalil Hosseini, a distinguished academic and one of the pioneers of reconstructive urologic surgery in Iran and the region. With more than three decades of invaluable experience in patient care and the education of numerous generations of specialists, Professor Hosseini has played a key role in advancing the science and practice of this field.

Equipped with a highly experienced team of specialists, well-trained staff, and state-of-the-art medical technology, the unit offers a comprehensive array of diagnostic and therapeutic services. The core focus is on reconstructive surgeries, including the treatment of urethral strictures, correction of congenital anomalies such as hypospadias, repair of trauma-related injuries, and reconstruction of the genitourinary tract.

In line with its commitment to advancing medical education, the unit has, over the past eleven years, trained fellows in reconstructive urology selected from among certified urologists. Graduates from the universities of Mashhad, Ahvaz, Tabriz, and Shiraz are now actively contributing to patient care across the country. In addition, urologists from other cities, including Isfahan and Mashhad, have participated in short-term training programs at this center.

With unwavering adherence to professional ethics, strict safety standards, and the dignity of every patient, the Reconstructive Urology Unit remains dedicated to enhancing patients’ quality of life and ensuring a treatment experience marked by confidence and compassion.

 

The Royal Hallamshire Hospital is a general and teaching hospital located in Sheffield, South Yorkshire, England. It is in the city's West End, facing Glossop Road and close to the main campus of University of Sheffield and the Collegiate Crescent campus of Sheffield Hallam University. The hospital is run by the Sheffield Teaching Hospitals NHS Foundation Trust.

The hospital, which replaced both the Sheffield Royal Hospital and the Sheffield Royal Infirmary, was designed by Adams, Holden and Pearson and built in two phases; the first phase, a three-storey out-patients department was completed in 1971. The second phase, the main building, was opened by the Prince of Wales in 1978. The main building was designed as three main interlinked buildings, the most significant being the monolithic 21-storey concrete structure, which remains the third highest in Sheffield after St Paul's Tower and the Arts Tower. It was designed with the rear part of the building overhanging a service road.

Operation of the hospital was transferred from the Sheffield Health Authority (dissolved on 1 April 1992) to the newly created Central Sheffield University Hospitals NHS Trust on 1 November 1991. On 1 April 2001, the Central Sheffield University Hospitals NHS Trust merged with the Northern General Hospital NHS Trust to create the Sheffield Teaching Hospitals NHS Trust, which was later awarded Foundation status on 1 July 2004.

The Jessop Wing, which replaced the Jessop Hospital for Women as a provider of maternity and gynecology services, was designed by the George Trew Dunn Partnership and opened by the Earl of Scarbrough, Lord Lieutenant of South Yorkshire in 2001.

Most non-emergency departments are represented in the hospital, although accident and emergency cases are handled by the Northern General Hospital, on the north side of the city. It has 14 operating theatres and it provides training for both Sheffield Hallam University and the University of Sheffield. It contains one of the United Kingdom's largest departments of infectious diseases and tropical medicine, which includes one of the country's HCID (High Consequence Infectious Diseases) units for looking after ebola cases and other very serious infectious illnesses.

The National Defense Medical College Hospital was established on April 18, 1978 with a partial revision of "Cabinet Office Ordinance on Organization of Defense Medical University School" (Prime Minister's Ordinance No. 65 of 1954), and on December 1 of the same year I was opened. 
Initial opening was organized with nine central departments, such as Division 1, Second Department of Internal Medicine, Surgery, Psychiatry, Pediatrics, Obstetrics and Gynecology, etc. 12 departments and departments, the Inspection Department, the Operating Department, the Nursing Department, etc., 200 beds We started as a general hospital with. 
Since then, it has played a role as a clinical education and research center for medicine as well as as a comprehensive medical institution widely open to the local residents at the same time, and it also responds to medical and clinical technologies that are changing more and more constantly We endeavored to expand and expand our education and research fields and to develop a medical care system for outpatient and inpatients who are increasing year by year. In February 1997 we launched a special function hospital, in August 2007 a disaster hospital, in 2008 In Saitama DMAT designated hospital in August and as a cancer clinic designated hospital in April, Heisei 24, respectively, it has reached the present, 15 departments and 15 departments and rooms to be placed as a central medical facility and 800 beds We conduct medical treatment, clinical education and research as a specific functional hospital with the aim. 
The number of outpatients in total in FY2004 was 289,534 (average of 1,196 persons per day), the number of hospitalized patients was 168,926 (average 463 per day), about 83% of patients reside in Saitama prefecture, others are It is a resident of each neighboring prefecture such as Tokyo.

Current concepts in the management of stricture of the urethra

The treatment of urethral strictures is divided into three categories.

First

Management consists of VIU, Dilation, CIC and Diversion.

VIU (Visual Internal Urethrotomy-to incise the stricture with an endoscope) is advocated for short bulbar strictures only once. The results are bad in penile urethral strictures. And it is not advocated for traumatic strictures.

Dilation (Dilatation-expansion of the urethra with metal or plastic dilators) rarely cures a stricture, and is advised in unfit patients, those who refuse surgery, and after multiple failed urethroplasties.

CIC (CSIC-Clean self intermittent catheterization) There is a trend to ask patients to perform CIC after VIU indicating poor success rate of VIU. This method of treatment is not favored by most urethroplasty surgeons in the world.

Diversion (Bypassing normal passage) like perineal urethrostomy, Mitrofanoff procedure is reserved for multiple failed and compex urethroplasties, in older men.

Second

Cure is possible in most patients for traumatic urethral strictures by excision of the stricture and anastomotic urethroplasty. It is applicable to bulbar urethral trauma and fractured pelvis and ruptured posterior urethra.There is a debate going on about whether to transect or not to transect the bulbar urethra for non traumatic urethral strictures. And the mood is swinging in favor of non transection.

Third

To create stable urethra of normal caliber. We cannot excise long segments of urethral strictures without chordee. For long strictures and those of non traumatic in origin augmentation urethroplasty (patch) with oral mucosa graft is the treatment of choice.

Guido Barbagli revolutionized the treatment of long segment urethral strictures by his dorsal onlay graft technique.

We (Kulkarni and Barbagli) described a new technique of one side dissection, dorsal onlay BMG urethroplasty for bulbar, penile and full length urethroplasty. We preserve the neurovascular tissue on one side of the urethra. This new technique is an example of minimal invasive technique of urethroplasty.

Today with only two urethroplasty techniques namely anastomosis and one side dissection we can perform surgery in more than 90% of the patients of stricture of the urethra. Complex cases need variety of procedures fit to be performed in centers of excellence and devoted to the treatment of stricture urethra.