Buccal versus lingual mucosal graft urethroplasty for complex hypospadias repair

Maarouf, Aref; Elsayed, Ehab R.; Ragab, Ahmed; Salem, Emad A.; Sakr, Ahmed; Omran, Mohamed; Abdelmonem, I.I.; Khalil, Samah R.; Abdalsamad, Khalid; Abouhashem, Safwat; Shahin, Ashraf; Eladl, Mahmoud

doi:10.1016/j.jpurol.2012.08.013

Cited by 34 publications

(29 citation statements)

References 27 publications

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“…Oral tightness was significantly more frequent in the early postoperative period after BMG harvesting and this is in line with the observations of Maarouf et al 13 and Sharma et al 14 …”

Section: Discussionsupporting

confidence: 91%

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Buccal Versus Lingual Mucosa Graft in Anterior Urethroplasty: A Prospective Comparison of Surgical Outcome and Donor Site Morbidity

et al. 2016

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“…Oral tightness was significantly more frequent in the early postoperative period after BMG harvesting and this is in line with the observations of Maarouf et al 13 and Sharma et al 14 …”

Section: Discussionsupporting

confidence: 91%

“…In this series as well as in other comparative series [12][13][14] , there was no difference in success rate between BMG and LMG. Therefore, LMG appears to be a valuable alternative in case BMG is not possible (e.g.…”

Section: Discussionsupporting

confidence: 51%

Buccal Versus Lingual Mucosa Graft in Anterior Urethroplasty: A Prospective Comparison of Surgical Outcome and Donor Site Morbidity

et al. 2016

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“…Oral grafts have become the most common graft type, owing to their short harvest time, hairlessness, low morbidity, durability, and excellent success rates. 86–90 One retrospective study of one-stage bulbar urethroplasty reported higher success rates with oral mucosal grafts than with penile skin grafts. 91 …”

Section: Managementmentioning

confidence: 99%

Male urethral strictures and their management

2013

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Male urethral stricture disease is prevalent and has a substantial impact on quality of life and health-care costs. Management of urethral strictures is complex and depends on the characteristics of the stricture. Data show that there is no difference between urethral dilation and internal urethrotomy in terms of long-term outcomes; success rates range widely from 8–80%, with long-term success rates of 20–30%. For both of these procedures, the risk of recurrence is greater for men with longer strictures, penile urethral strictures, multiple strictures, presence of infection, or history of prior procedures. Analysis has shown that repeated use of urethrotomy is not clinically effective or cost-effective in these patients. Long-term success rates are higher for surgical reconstruction with urethroplasty, with most studies showing success rates of 85–90%. Many techniques have been utilized for urethroplasty, depending on the location, length, and character of the stricture. Successful management of urethral strictures requires detailed knowledge of anatomy, pathophysiology, proper patient selection, and reconstructive techniques.

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“…82,83 No graft is definitively superi or to the others in terms of harvesting site morbidity or success of the urethroplasty. 84,85 Irrespective of the graft used, the first stage of repair involves quilting the graft onto the ventral aspect of the penile shaft after the removal of any scarred tissue. The graft is then tabularised around 6 months later.…”

Section: Fistula Formationmentioning

confidence: 99%

Failed hypospadias in paediatric patients

et al. 2013

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| Failed hypospadias refers to any hypospadias repair that leads to complications or causes patient dissatisfaction. The complication rate after hypospadias repairs ranges from 5-70%, but the actual incidence of failed hypospadias is unknown as complications can become apparent many years after surgery and series with lifelong follow-up data do not exist. Moreover, little is known about uncomplicated repairs that fail in terms of patient satisfaction. Risk factors for complications include factors related to the hypospadias (severity of the condition and characteristics of the urethral plate), the patient (age at surgery, endocrine environment, and wound healing impairment), the surgeon (technique selection and surgeon expertise), and the procedure (technical details and postoperative management). The most important factors for preventing complications are surgeon expertise (number of cases treated per year), interposition of a barrier layer between the urethroplasty and the skin, and postoperative urinary drainage. Major complications associated with failed hypospadias include residual curvature, healing complications (preputial dehiscence, glans dehiscence, fistula formation, and urethral breakdown), urethral obstruction (meatal stenosis, urethral stricture, and functional obstruction), urethral diverticula, hairy urethra, and penile skin deficiency.

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Buccal versus lingual mucosal graft urethroplasty for complex hypospadias repair

Cited by 34 publications

References 27 publications

Buccal Versus Lingual Mucosa Graft in Anterior Urethroplasty: A Prospective Comparison of Surgical Outcome and Donor Site Morbidity

Buccal Versus Lingual Mucosa Graft in Anterior Urethroplasty: A Prospective Comparison of Surgical Outcome and Donor Site Morbidity

Male urethral strictures and their management

Failed hypospadias in paediatric patients

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