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Ventral Onlay Graft Urethroplasty Using Genital Skin or Buccal Mucosa in the Treatment of Bulbar Strictures: A Retrospective Analysis of 41 Cases

Ventral Onlay Graft Urethroplasty Using Genital Skin or Buccal Mucosa in the Treatment of Bulbar... Background: The aim of this study was to evaluate the success of ventral onlay urethroplasty in the treatment of bulbar urethral strictures. Patients and Methods: The files of patients with bulbar stricture-disease treated with ventral onlay urethroplasty between January 2000 and July 2004 were retrospectively analysed. Forty-one patients with a mean age of 44.7 years (range 14–76 years) were included. Genital skin was used as a graft in 33 patients and buccal mucosa in 8 patients. The median follow-up was 3 years (range 1–5 years). If recurrence was suspected (clinical and/or on uroflowmetry), urethrography was performed. Need for any further instrumentation or re-operation was considered as a failure. Results: The mean stricture length was 5.2 cm (range 3–8 cm). Two complications (4.9%) were noted: 1 patient developed orchiepididymitis and another suffered from neuralgic pain in the region of the ischial nerve. Three patients (2 genital skins, 1 buccal mucosa) developed a recurrence of the stricture-disease. The final success rate was 92.7%. Conclusion: Ventral onlay urethroplasty remains a good technique in the treatment of bulbar urethral strictures that can not be treated with end-to-end anastomosis. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Current Urology Karger

Ventral Onlay Graft Urethroplasty Using Genital Skin or Buccal Mucosa in the Treatment of Bulbar Strictures: A Retrospective Analysis of 41 Cases

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References (25)

Publisher
Karger
Copyright
© 2008 S. Karger AG, Basel
ISSN
1661-7649
eISSN
1661-7657
DOI
10.1159/000115397
Publisher site
See Article on Publisher Site

Abstract

Background: The aim of this study was to evaluate the success of ventral onlay urethroplasty in the treatment of bulbar urethral strictures. Patients and Methods: The files of patients with bulbar stricture-disease treated with ventral onlay urethroplasty between January 2000 and July 2004 were retrospectively analysed. Forty-one patients with a mean age of 44.7 years (range 14–76 years) were included. Genital skin was used as a graft in 33 patients and buccal mucosa in 8 patients. The median follow-up was 3 years (range 1–5 years). If recurrence was suspected (clinical and/or on uroflowmetry), urethrography was performed. Need for any further instrumentation or re-operation was considered as a failure. Results: The mean stricture length was 5.2 cm (range 3–8 cm). Two complications (4.9%) were noted: 1 patient developed orchiepididymitis and another suffered from neuralgic pain in the region of the ischial nerve. Three patients (2 genital skins, 1 buccal mucosa) developed a recurrence of the stricture-disease. The final success rate was 92.7%. Conclusion: Ventral onlay urethroplasty remains a good technique in the treatment of bulbar urethral strictures that can not be treated with end-to-end anastomosis.

Journal

Current UrologyKarger

Published: Jan 1, 2008

Keywords: Urethral stricture; Urethroplasty; Bulbar urethra; Graft; Buccal mucosa

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