Lingual Mucosal Graft Urethroplasty for Anterior Urethral Reconstruction

Simonato, Alchiede; Gregori, Andrea; Ambruosi, Carlo; Venzano, Fabio; Varca, Virginia; Romagnoli, Andrea; Carmignani, G.

doi:10.1016/j.eururo.2008.01.023

Cited by 88 publications

(69 citation statements)

References 23 publications

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“…[79][80][81] The tongue and the retroauricular region are additional potential harvesting sites. 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.…”

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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Section: Fistula Formationmentioning

confidence: 99%

Failed hypospadias in paediatric patients

et al. 2013

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“…After LMG urethroplasty was first described by Simonato et al [6] subsequent series have reported excellent outcomes after a short-and medium-term follow-up (Table 4) [6,10,11,16,17]. The present study specifically evaluated the outcomes of LMG urethroplasty over a prolonged follow-up.…”

Section: Discussionmentioning

confidence: 99%

“…Simonato et al [6] first reported the use of the LMG for substitution urethroplasty, treating eight patients with urethral strictures using a LMG in a one-stage dorsal onlay urethroplasty, and reported success in seven within a mean follow-up of 18 months. In 2008, Simonato et al [10] reported another series of LMG urethroplasty, with a 21% recurrence rate within a mean of 17.7 months of follow-up. LMG urethroplasty was used by Barbagli et al [11] for managing 10 patients with a urethral stricture, and only one patient developed a recurrence during the follow-up (mean 5 months).…”

Section: Discussionmentioning

confidence: 99%

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616 Long term results of lingual mucosal grafts for repairing long anterior urethral strictures

Elgamal¹,

Farha²,

El-Abd³

et al. 2012

European Urology Supplements

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“…The junction between the graft and the normal urethra was discernible by its gross appearance, and the LMGs were tightly incorporated into the urethral walls. (21) Since then, numerous reports for the use of the lingual mucosa for urethroplasty were published in the last 5 years (16,(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)) emphasizing Simonato's conclusion that the mucosa of the tongue is a safe and effective graft material in the armamentarium for urethral reconstruction with potential minor risks of donor site complications. (27) …”

mentioning

confidence: 99%