Combined Dorsal plus Ventral Double Buccal Mucosa Graft in Bulbar Urethral Reconstruction

m e d i c a l j o u r n a l a r m e d f o r c e s i n d i a 7 2 ( 2 0 1 6 ) 3 4 4 -3 4and Pharmacological Colour Doppler Ultrasonography (PCDU) for a period of 6 months.Results: Preoperative prevalence of ED assessed by IIEF was found to be 82.8%. Postoperative incidence of ED was 28.5% and new onset ED is 50%. There was no significant change in IIEF values and values of peak systolic velocity and resistive index of cavernosal artery over time. Conclusion:There is significant prevalence of ED with urethral stricture. Despite significant postoperative incidence of ED after urethroplasty, the surgical procedure per se does not result in ED.#

show abstract

“…Studies by Palminteri et al, 12 Shenfeld et al, 13 Kessler et al, 14 Anger et al 15 and Nelson et al 16 concluded that there …”

Section: Discussionmentioning

confidence: 99%

Erectile dysfunction in anterior urethral strictures after urethroplasty with reference to vascular parameters

Mondal

Bandyopadhyay

Mandal

et al. 2016

Medical Journal Armed Forces India

View full text Add to dashboard Cite

show abstract

“…Palminteri et al [9] in 2008 first reported 48 cases of dorsal plus ventral buccal mucosa urethroplasty for bulbar urethral stricture, with an average follow-up of 22 months; the success rate was 89.6 %. Since 2008, we tried using the combined dorsal plus ventral doublegraft urethroplasty in anterior urethral reconstruction, especially penis and scrotum junction stenosis; the success rate was 88.9 %, significantly better than the urethroplasty forming 60.9 % of the treatment effect.…”

Section: Discussionmentioning

confidence: 99%

“…Double-graft bulbar reconstruction (using BMG for both grafts) was popularized by Palminteri et al with excellent results in moderate length strictures (mean stricture length 3.6 cm, 90 % success rate, and mean follow-up time of 22 months) [9], but with no comparison group to know if this was truly superior to single-graft techniques. Moreover, double-graft reconstruction for penoscrotal and penile urethral stricture is still not fully unknown.…”

Section: Introductionmentioning

confidence: 99%

Combined Dorsal Plus Ventral Double-Graft Urethroplasty in Anterior Urethral Reconstruction

Jiang

Zhu²,

Jiang³

et al. 2014

Indian J Surg

View full text Add to dashboard Cite

This study aims to investigate the effect of combined dorsal plus ventral double-graft urethroplasty in anterior urethral reconstruction. Patients who underwent graft urethroplasty for anterior urethral strictures at West China Hospital from 2005 to 2010 were followed up with clinical evaluation. According to the site of graft fixed, patients were divided into single-onlay group (dorsal or ventral) and doubleonlay group (dorsal plus ventral). Success rate and complications were compared between the two groups and were analyzed using t test and chi-square. A total of 77 patients completed the follow-up, 51 in single-onlay group and 26 in double group. There was no statistical difference in terms of age, length, site, stricture reason, and the type of graft used between the two groups. The mean follow-up time was 15.6 months (range from 4 to 33 months) in double group and 39.5 months (range from 15 to 59 months) in single group. The total success rate was 72.5 % in single-onlay group and 88.5 % in doubleonlay group; no statistical difference existed (p >0.05). Subgroup analysis shows the success rate was higher for double-onlay urethroplasty for the stricture of penoscrotal junction (88.9 vs 60.9 %, p<0.05). The main postoperative complications including infection and urethrocutaneous fistula were not significant between the two groups (p> 0.05). Combined dorsal plus ventral double-graft urethroplasty showed a high success and low complication rate for anterior urethral strictures, especially for the penoscrotal junction.

show abstract

“…1 The same authors have previously described the placement of combined dorsal plus ventral double buccal mucosa graft in bulbar urethral reconstruction. 2 The long-term results at a median follow up of 47 months were recently published. 3 The success rate of the double buccal mucosa graft (89.9%) was comparable with dorsal and ventral onlay grafting (88%).…”

Section: Editorial Commentmentioning

confidence: 99%

Editorial Comment to Two‐sided urethra‐sparing reconstruction combining dorsal preputial skin plus ventral buccal mucosa grafts for tight bulbar strictures

Kuo

2015

Int J of Urology

View full text Add to dashboard Cite

Combined Dorsal plus Ventral Double Buccal Mucosa Graft in Bulbar Urethral Reconstruction

Cited by 92 publications

References 21 publications

Erectile dysfunction in anterior urethral strictures after urethroplasty with reference to vascular parameters

Erectile dysfunction in anterior urethral strictures after urethroplasty with reference to vascular parameters

Combined Dorsal Plus Ventral Double-Graft Urethroplasty in Anterior Urethral Reconstruction

Editorial Comment to Two‐sided urethra‐sparing reconstruction combining dorsal preputial skin plus ventral buccal mucosa grafts for tight bulbar strictures

Contact Info

Product

Resources

About