Dorsal onlay buccal mucosal graft urethroplasty in long anterior urethral stricture
Int. braz. j. urol
;
33(2): 181-187, Mar.-Apr. 2007. tab
Artículo
en Inglés
| LILACS
| ID: lil-455592
ABSTRACT
OBJECTIVE:
To assess the success of buccal mucosal graft (BMG) urethroplasty by the dorsal onlay technique in long anterior urethral stricture (> 2 cm long) through the midline perineal incision. MATERIALS ANDMETHODS:
From January 1998 to December 2003, 43 patients with long anterior urethral strictures were managed by dorsal onlay BMG urethroplasty. After voiding trial, they were followed up at 3 months with uroflowmetry, retrograde urethrogram (RGU) and American Urological Association symptoms score (AUA symptoms scores). Successful outcome was defined as normal voiding with a maximum one attempt of VIU after catheter removal. Patients were further followed-up with uroflowmetry at 3 months interval and RGU every 6 months interval.RESULTS:
Mean stricture length was 4.8 cm (range 3 to 9 cm) and mean follow up was 48 months (range 12 to 84 months). Only five patients were found to develop stricture at anastomotic site, during follow-up. Two of them voided normally after single attempt of VIU. Other three patients (6.9 percent) required further open surgery or repeat VIU during follow up and were considered as failure.CONCLUSION:
Dorsal onlay BMG urethroplasty is a simple technique with good surgical outcome.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Colgajos Quirúrgicos
/
Uréter
/
Estrechez Uretral
/
Mucosa Bucal
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Adulto
/
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Int. braz. j. urol
Asunto de la revista:
Urología
Año:
2007
Tipo del documento:
Artículo
País de afiliación:
India
Institución/País de afiliación:
Banaras Hindu University/IN
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