Multi-Institutional Experience With Buccal Mucosa Onlay Urethroplasty in Complex Bulbar Urethral Reconstruction

Kane, Christopher J.; Tarman, Gregory J.; Buchmann, Craig E.; Ward, John F.; O’Reilly, Keith J.; Ruiz, Henry H.; Thrasher, J. Brantley; Zorn, Burk; Smith, Carolyn L.; Morey, Allen F.

doi:10.1097/00005392-199904010-00404

Cited by 4 publications

(2 citation statements)

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“…Although a long‐term follow‐up is unavailable for all patients in the present series, the results are expected to be similar to those of other extensive urethral reconstruction procedures [12–14]. The outcome appears to be generally favourable, although not commensurate with that after reconstructing shorter strictures [15,16]. Many of the present patients had BXO, a chronic peri‐urethral inflammatory condition, which may jeopardize long‐term success [17].…”

Section: Discussionmentioning

confidence: 83%

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Q‐flap reconstruction of panurethral strictures

2000

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Objective To review our experience with an extended Qshaped penile skin¯ap for the reconstruction of panurethral strictures. Patients and methods Between 1991 and 1999, 15 men with extensive strictures underwent a single-stage urethral reconstruction with a distal circumferential penile skin¯ap incorporating a ventral midline extension (Q-¯ap). None had undergone previous urethroplasty nor had any been circumcised. Results The Q-¯ap provided a pedicled strip of penile skin with a mean (range) length of 17 (15±24) cm; no additional graft materials were necessary. Excellent results were obtained in 10 patients; in the remainder, complications included recurrent stricture (in two) and (in one patient each) a cerebral vascular accident, urethrocutaneous ®stula, meatal stenosis, femoral neuropathy and prolonged catheterization for focal extravasation. Conclusion The Q-¯ap provides an abundant hairless penile skin¯ap that enables single-stage panurethral reconstruction while eliminating the additional time and morbidity of harvesting further grafts.

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Section: Discussionmentioning

confidence: 83%

“…struction procedures [12±14]. The outcome appears to be generally favourable, although not commensurate with that after reconstructing shorter strictures [15,16]. Many of the present patients had BXO, a chronic peri-urethral in¯ammatory condition, which may jeopardize long-term success [17].…”

Section: Discussionmentioning

confidence: 84%