Dorsal onlay oral mucosal graft bulbar urethroplasty

Barbagli, Guido; Sansalone, Salvatore; Kulkarni, Sanjay; Romano, Giuseppe; Lazzeri, Massimo

doi:10.1111/j.1464-410x.2012.11006.x

Cited by 14 publications

(2 citation statements)

References 9 publications

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“…Originally, free graft urethroplasty always involved a ventral placement of the graft on the longitudinally opened urethral stricture: the so-called “ventral onlay” free graft urethroplasty. Later, Barbagli et al modified this technique and started placing grafts dorsally, against the cavernous bodies: the so-called “dorsal onlay” free graft urethroplasty [71]. This technique seemed to have the advantage of better graft fixation against its vascular bed and tended to cause less sacculation than ventral onlay procedures.…”

Section: Treatmentmentioning

confidence: 99%

A Comprehensive Review Emphasizing Anatomy, Etiology, Diagnosis, and Treatment of Male Urethral Stricture Disease

Verla

Oosterlinck

Spinoit

et al. 2019

BioMed Research International

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To date, urethral stricture disease in men, though relatively common, represents an often poorly managed condition. Therefore, this article is dedicated to encompassing the currently existing data upon anatomy, etiology, symptoms, diagnosis, and treatment of the disease, based on more than 40 years of experience at a tertiary referral center and a PubMed literature review enclosing publications until September 2018.

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Section: Treatmentmentioning

confidence: 99%

A Comprehensive Review Emphasizing Anatomy, Etiology, Diagnosis, and Treatment of Male Urethral Stricture Disease

Verla

Oosterlinck

Spinoit

et al. 2019

BioMed Research International

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“…Our search yielded 1,275 records. After removal of duplicates, we screened the titles and abstracts of 590 records, excluded 564 and then screened 26 full-text articles of which we excluded 15 references [ 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 ], which did not meet our inclusion criteria; see PRISMA flowchart ( Fig. 1 ) for further details.…”

Section: Resultsmentioning

confidence: 99%

A Systematic Review of Randomized Controlled Trials Comparing Buccal Mucosal Graft Harvest Site Non-Closure versus Closure in Patients Undergoing Urethral Reconstruction

Hwang

Fazio

Hamilton

et al. 2022

World J Mens Health

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Purpose To assess the effects of buccal mucosal graft site non-closure versus closure on postoperative oral morbidity for male undergoing augmentation urethroplasty for urethral stricture. Materials and Methods We included randomized controlled trials. Inclusion criteria were male over the age of 18 with urethral stricture disease requiring reconstruction with buccal mucosal graft harvest. Primary outcomes of the review were postoperative oral pain, need for secondary oral procedures and cosmetic defects. Results We included 5 studies with 346 randomized patients with urethral strictures, of whom 260 completed the trials. In terms of primary outcomes, non-closure graft site may reduce oral pain on postoperative day #1 (standard mean difference [SMD] 0.24 lower; 95% confidence interval [CI] 0.61 lower to 0.12 higher; low certainty evidence [CoE]) but we are uncertain how this impacts pain on postoperative days 3 to 6 (SMD 0.35; 95% CI 0.12 to 0.81 higher; very low CoE). We are also very uncertain as to how it affects the need for secondary oral procedures (risk ratio [RR] 0.22; 95% CI 0.01 to 4.28; very low CoE). Non-closure may increase the risk of cosmetic defects (RR 2.40; 95% CI 0.93 to 6.22; low CoE). Conclusions This review describes the trade-off for buccal mucosal graft site non-closure versus closure for various patient-important outcomes; decision-making will likely hinge on the relative value individual patients and surgeons place on them. The supporting evidence was rated as low and very low, thereby signaling substantial underlying uncertainty and the need for better trials.

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Treatment of Urethral Injury. II: The Anterior Urethra

AL-Mamari

2023

Urogenital Trauma: A Practical Guide

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Dorsal onlay oral mucosal graft bulbar urethroplasty

Cited by 14 publications

References 9 publications

A Comprehensive Review Emphasizing Anatomy, Etiology, Diagnosis, and Treatment of Male Urethral Stricture Disease

A Comprehensive Review Emphasizing Anatomy, Etiology, Diagnosis, and Treatment of Male Urethral Stricture Disease

A Systematic Review of Randomized Controlled Trials Comparing Buccal Mucosal Graft Harvest Site Non-Closure versus Closure in Patients Undergoing Urethral Reconstruction

Treatment of Urethral Injury. II: The Anterior Urethra

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