Two-Sided Bulbar Urethroplasty Using Dorsal Plus Ventral Oral Graft: Urinary and Sexual Outcomes of a New Technique

Palminteri, Enzo; Berdondini, Elisa; Shokeir, Ahmed A.; Iannotta, L.; Gentile, Vincenzo; Sciarra, Alessandro

doi:10.1016/j.juro.2010.12.103

Cited by 44 publications

(26 citation statements)

References 29 publications

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“…This technique preserves the remaining urethral plate and avoids the use of a wide single dorsal or ventral graft. In this report, there was no deterioration in erectile function after surgery in all 49 of 73 patients who were pre-operatively sexually active (Palminteri et al, 2011).…”

Section: Anterior Urethroplastymentioning

confidence: 43%

Erectile dysfunction in urethral stricture and pelvic fracture urethral injury patients: diagnosis, treatment, and outcomes

2015

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SUMMARYUrethral stricture disease, pelvic fracture urethral injury (PFUI), and their various treatment options are associated with erectile dysfunction (ED). The etiology of urethral stricture disease is multifactorial and includes trauma, inflammatory, and iatrogenic causes. Posterior urethral injuries are commonly associated with pelvic fractures. There is a spectrum in the severity of both conditions and this directly impacts the treatment options offered by the surgeon. Many published studies focus on the treatment outcomes and the relatively high recurrence rates after surgical repair. This communication reviews the current knowledge of the association between ED and urethral stricture disease, as well as PFUI. The incidence, pathophysiology, and clinical ramifications of both conditions on sexual function are discussed. The treatment options for ED in those patients are reviewed and summarized.

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Section: Anterior Urethroplastymentioning

confidence: 43%

Erectile dysfunction in urethral stricture and pelvic fracture urethral injury patients: diagnosis, treatment, and outcomes

2015

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“…Berglund and Angermeier proved that the combination of a buccal mucosa graft and penile or scrotal skin flap is a reliable and durable method of single‐stage repair for extensive urethral stricture disease . Several authors reported simultaneous use of two buccal mucosa grafts for circumferential urethral replacement . Similarly, Chen et al .…”

Section: Discussionmentioning

confidence: 98%

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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“…Palminteri et al reported an 88% success rate in 73 patients with bulbar strictures undergoing OBMGU. 39 In an expanded assessment of OBMGU, a recent multi-institutional analysis of 36 patients validated these promising results for strictures along the entire anterior urethra with an 89% success rate following a mean of 16 months after urethroplasty. 10 Gelman et al described a similar version of OBMGU through a dorsal approach, thus preserving the ventral corpus spongiosum.…”

Section: Overlapping Dorsal and Ventral Buccal Graftingmentioning

confidence: 89%

“…The OBMGU concept allows use of more narrow ventral grafts, and thus less likelihood of sacculation. 10,39 Importantly, this technique avoids tubularized grafts and urethral transection. Palminteri et al reported an 88% success rate in 73 patients with bulbar strictures undergoing OBMGU.…”

Section: Overlapping Dorsal and Ventral Buccal Graftingmentioning

confidence: 99%

Urethroplasty for Stricture Disease: Contemporary Techniques and Outcomes

Dugi

Simhan

Morey

2016

Urology

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Two-Sided Bulbar Urethroplasty Using Dorsal Plus Ventral Oral Graft: Urinary and Sexual Outcomes of a New Technique

Abstract: In cases of tight bulbar stricture the dorsal plus ventral buccal mucosa graft provides adequate urethral augmentation by preserving the urethral plate and avoiding postoperative sexual complications.

Cited by 44 publications

References 29 publications

Erectile dysfunction in urethral stricture and pelvic fracture urethral injury patients: diagnosis, treatment, and outcomes

Erectile dysfunction in urethral stricture and pelvic fracture urethral injury patients: diagnosis, treatment, and outcomes

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

Urethroplasty for Stricture Disease: Contemporary Techniques and Outcomes

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