Free Full Thickness Skin Graft Urethroplasty

Devine, Patrick C.; Fallon, Bernard; Devine, Charles J.

doi:10.1016/s0022-5347(17)58851-5

Cited by 74 publications

(19 citation statements)

References 3 publications

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“…To date, penile skin graft (PSG) and buccal mucosa graft (BMG) are the most popular substitutes in UR [5,14]. PSG was popularized in the USA by Devine et al [15] and in Europe by De Sy and Oosterlinck [16]. PSG can be harvested at the inner surface of the prepuce and/or at the dorsal penile shaft.…”

Section: Introductionmentioning

confidence: 99%

Urethral Reconstruction Using Buccal Mucosa or Penile Skin Grafts: Systematic Review and Meta-Analysis

Lumen

Oosterlinck

Hoebeke³

2012

Urol Int

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Introduction: Different types of grafts have been described in urethral reconstruction (UR), with penile skin graft (PSG) and buccal mucosa graft (BMG) as the most frequently used ones. It still remains unclear whether one graft is superior in terms of success when compared to the other. Material and Methods: A systematic review of the literature was performed searching the MEDLINE database with the following search strategy: ‘urethroplasty’ AND ‘penile skin’/ ‘urethroplasty’ AND ‘buccal mucosa’. 266 and 144 records were retrieved for urethroplasty with PSG and BMG, respectively. These records were reviewed to identify papers where PSG and BMG were used in UR and where individualized data on success were available within the same series. Results: 18 papers were found eligible for further analysis. In total, 428 and 483 patients were respectively treated with PSG or BMG. If available, follow-up duration was 64.1 versus 42.1 months (p < 0.0001) and stricture length 6.2 versus 4.6 cm (p < 0.0001) for PSG and BMG, respectively. Success of UR with PSG was 81.8 versus 85.9% with BMG (p = 0.01). Conclusions: Success of UR using BMG is significantly better compared to PSG. Results might be seriously biased by a longer follow-up duration and stricture length for PSG compared to BMG.

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Section: Introductionmentioning

confidence: 99%

Urethral Reconstruction Using Buccal Mucosa or Penile Skin Grafts: Systematic Review and Meta-Analysis

Lumen

Oosterlinck

Hoebeke³

2012

Urol Int

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“…A variety of tissues have been used as substitute and quest for a perfect substitute continues. [1][2][3][4] To start with full thickness skin grafts were used but these led to ballonning, diverticula and restricture and hence were given up. 8 Bladder mucosa served as a very good substitute but it was difficult to harvest and led to increased patient morbidity.…”

Section: Discussionmentioning

confidence: 99%

“…Skin graft, bladder epithelial graft and colonic mucosal graft are few amongst these. [1][2][3][4] Currently oral mucosa is unsurpassed as donor substitute material in anterior urethroplasty. Use of buccal mucosa (BM) as a urethral mucosa substitute was first described in 1941 by Humby.…”

Section: Introductionmentioning

confidence: 99%

Outcome and donor site morbidity of buccal versus lingual mucosal graft in substitution urethroplasty for anterior urethral stricture

2016

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“…The technique of the free full thickness skin graft is that described by Devine et al [8] and more recently by De Sy et al [9], The graft is harvested from the preputial skin, its width and length adapted to the length of the stricture. The subcutaneous tissue is removed, the graft is then sutured to the edges of the opened urethra with running 5/0 polyglycolic sutures over a 20-Ch urethral catheter.…”

Section: Introductionmentioning

confidence: 99%