Graft Surgery in Extensive Urethral Stricture Disease

Djordjević, Miroslav L.

doi:10.1007/s11934-014-0424-3

Cited by 25 publications

(19 citation statements)

References 66 publications

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“…Acimovic M reported their overall success rate was 90.6 % on re-operative patients with anterior urethral strictures (Acimovic et al 2016 ). Over the last decade, buccal mucosa gained popularity as the best substitute material for urethral reconstruction (Djordjevic 2014 ; Barbagli et al 2005 ). Inlay buccal mucosa graft urethroplasty was also used in many other failed cases or complex urinary fistula repair but rarely in distal and moderate primary patients (Hayes and Malone 1999 ; Ye et al 2008 ).…”

Section: Discussionmentioning

confidence: 99%

Selecting the right method for hypospadias repair to achieve optimal results for the primary situation

Shuzhu

Yidong

et al. 2016

SpringerPlus

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Background Over the past two decades, Snodgrass tubularized incised plate (TIP) urethroplasty has become one of the dominant surgical techniques with wide applications and excellent cosmetic results. However, TIP has many limitations. We performed a retrospective study at our department and assessed the outcome of the inlay internal preputial graft for extending the applications of TIP.MethodsBetween January 2009 and December 2013, we performed a retrospective study consisting of approximately 508 primary distal and moderate cases. Patients with primary distal hypospadias who had mild or no chordee and good penile development were divided into the following 3 groups based on their procedures: (1) classic TIP hypospadias repair group (n = 198); (2) inlay buccal mucosa graft group (n = 150); and (3) inlay internal preputial graft group (n = 160). The median age was 1.6 years (range 1–4 years). Our data were analyzed statistically by the Chi square test with P < 0.05 indicating significant differences. ResultsThe mean follow-up period was 18 months (range 6‒24 months). In the classic TIP group, the incidence of urinary fistula and meatal stenosis were both 3.0 % (6/198); in the inlay buccal mucosal graft group, the incidence of urinary fistula was 3.3 % (5/150), and the incidence of stenosis was 2.7 % (4/150); and in the inlay internal preputial graft group, the incidence of urinary fistula was 3.1 % (5/160), and the incidence of meatal stenosis was 4.4 % (7/160). The success rates of each group were as follows: the classic TIP group has a success rate of 93.9 % (186/198); the inlay buccal mucosa graft group had a success rate of 94.0 % (141/150); and the inlay internal preputial graft group had a success rate of 92.5 % (148/160). There were no statistically significant differences between the 3 groups with respect to complication rates.ConclusionsAs the inner foreskin Snodgraft does not appear to be worse than the buccal mucosa graft, it is a good method for hypospadias repair, and this method is not inferior to TIP.

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Section: Discussionmentioning

confidence: 99%

Selecting the right method for hypospadias repair to achieve optimal results for the primary situation

Shuzhu

Yidong

et al. 2016

SpringerPlus

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“…Penile and bulbar urethral strictures with salvageable urethral mucosa and relatively healthy spongy tissue could be successfully repaired using either a buccal mucosa graft or penile skin flap, whereas complex non‐obliterative urethral strictures often required a staged approach . In our center, patients with anterior urethral strictures, where a viable strip of urethral mucosa can be found, are usually repaired by standardized buccal mucosa graft augmentation urethroplasty …”

Section: Discussionmentioning

confidence: 99%

“…[6][7][8][9] In our center, patients with anterior urethral strictures, where a viable strip of urethral mucosa can be found, are usually repaired by standardized buccal mucosa graft augmentation urethroplasty. 10,11 In contrast, the approach is much more questionable in patients with complex obliterative urethral strictures. The obliterative strictures are completely obstructive urethral strictures with a total loss of viable urethral mucosa in the affected segment.…”

Section: Discussionmentioning

confidence: 99%

Single‐stage repair of obliterated anterior urethral strictures using buccal mucosa graft and dorsal penile skin flap

2018

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Objective To present a single‐stage repair of obliterative urethral strictures by simultaneous use of a buccal mucosa graft and longitudinal dorsal penile skin flap. Methods Between February 2007 and October 2016, 51 patients with obliterative anterior urethral stricture underwent single‐stage substitution urethroplasty. A buccal mucosa graft was harvested and fixed to the corpora cavernosa as the dorsal part of the neourethra, and a vascularized dorsal penile skin flap was created, transposed ventrally and sutured to the buccal mucosa graft to form ventral part of the neourethra. Results The follow‐up period was 12–129 months (mean 49 months). The mean age of the patients was 48 years (range 15–71 years). The mean length of the obliterated urethral segment, measured during the operative procedure, was 5.2 cm. The etiology of strictures was: unknown, hypospadias and trauma in 19, 27 and five patients, respectively. Five patients were lost to follow up, and 46 patients were analyzed for the outcome. At the end of the follow‐up period, recurrence of the stricture occurred in seven (15.2%) patients, whereas 39 (84.8%) patients did not develop stricture. An additional three (6.5%) patients developed fistula, resulting in overall successful voiding in 36 (78.3%) patients. Conclusions A combined buccal mucosa graft and longitudinal dorsal penile skin flap could be a good choice for one‐stage substitution urethroplasty in complex obliterative urethral strictures, with an acceptable complication rate.

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“…Miscellaneous tissues have been used in the past however, in the last decade, buccal mucosa gained popularity as the best substitute material for urethral reconstruction (11). Buccal mucosa is a convenient donor site for augmentation urethroplasty because of its thick epithelium, high content of elastic fibers and rich vascularity due to pan laminar plexus, and good graft uptake (12).…”

Section: Discussionmentioning

confidence: 99%

Outcome of buccal mucosa urethroplasty in the management of urethral strictures

Çakıroğlu¹,

Sinanoğlu

Arda³

2017

Arch Ital Urol Androl

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Objective: The objective of the study is to report the outcome of buccal mucosal urethroplasty. Materials and methods: The follow up data of 15 patients undergoing single stage urethroplasty from September 2010 to September 2015 were retropectively reviewed. They received buccal mucosa graft for urethroplasty. The patients were followed for complications and outcome. Results: Mean age was 53.7 ± 13.6 The stricture length ranged from 3 to 6 cm (mean 4.4 ± 0.8). The success rate for buccal mucosa urethroplasty (BMU) was 67.7% at 12 th month. Three patients presenting with voiding difficulty in the 3 rd month and one in the next 12 months, had urethral restenosis. One patient had fistula formation at 6 th month postoperatively. Five patients underwent retreatment procedures such as internal urethrotomy, urethroplasty and/or internal urethrotomy. Conclusions: The buccal mucosa is easy to obtain and handle, therefore BMU can be safely and effectively managed outside high volume institutions.

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Graft Surgery in Extensive Urethral Stricture Disease

Cited by 25 publications

References 66 publications

Selecting the right method for hypospadias repair to achieve optimal results for the primary situation

Selecting the right method for hypospadias repair to achieve optimal results for the primary situation

Single‐stage repair of obliterated anterior urethral strictures using buccal mucosa graft and dorsal penile skin flap

Outcome of buccal mucosa urethroplasty in the management of urethral strictures

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