Reconstruction of the Posterior Urethra with a Distally Based Flap from the Bladder

Pers, M; Medgyesi, Sandor; J, Hill-Madsen

doi:10.3109/02844318209006587

Scandinavian Journal of Plastic and Reconstructive Surgery

1982

DOI: 10.3109/02844318209006587

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Reconstruction of the Posterior Urethra with a Distally Based Flap from the Bladder

M Pers¹,

Sandor Medgyesi²,

Hill-Madsen J³

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1987

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Proximal Urethral Reconstruction Using a Distally Based Ventral Bladder Tube Flap An Experimental Study

Fowler

Holmberg

1987

Veterinary Surgery

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Reconstruction of the proximal urethra using a distally based tube flap mobilized from the ventral bladder wall was performed on 12 clinically normal dogs after total prostatectomy and resection of 2 cm of membranous urethra. One dog was euthanized at 6 hours and one at 36 hours after surgery because of surgical complications. Five dogs were euthanized at 10 days, two dogs at 6 weeks and three dogs at 12 weeks. Advancement of the tube flap allowed for tension-free anastomosis to the membranous urethra. Vascular integrity was maintained in all flaps. Intermittent to continuous postoperative urinary incontinence occurred in 7 of 10 dogs. The incontinence was transient in all 6 and 12 week dogs except one in which a persistent stress incontinence developed. Mild to severe dysuria was noted in 8 of 10 dogs, but was also transient in all of the 6 and 12 week dogs, with the exception of one dog. Postoperative urethral closure pressure profilometry revealed decreased tone in the membranous urethra in all 6 and 12 week dogs. It was concluded that proximal urethral reconstruction, using a ventral bladder tube flap, is a viable technique that may permit functional urodynamic recovery in dogs with significant proximal urethral loss.

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Proximal Urethral Reconstruction Using a Distally Based Ventral Bladder Tube Flap An Experimental Study

Fowler

Holmberg

1987

Veterinary Surgery

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Reconstruction of the Posterior Urethra with a Distally Based Flap from the Bladder

Cited by 1 publication

References 9 publications

Proximal Urethral Reconstruction Using a Distally Based Ventral Bladder Tube Flap An Experimental Study

Proximal Urethral Reconstruction Using a Distally Based Ventral Bladder Tube Flap An Experimental Study

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