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The buccal mucosa fenestrated graft for Bracka first stage urethroplasty: experimental study in rabbits
International Braz J Urol; Oliva, Petrus; Delcelo, Rosana; Bacelar, Herick; Rondon, Atila; Barroso Jr., Ubirajara; Ortiz, Valdemar; Macedo Jr., Antônio.
  • Oliva, Petrus; Federal University of São Paulo. Departament of Urology (PO, HB, AR, UBjr, VO, AMjr) Department of Pathology (RD). São Paulo. BR
  • Delcelo, Rosana; Federal University of São Paulo. Departament of Urology (PO, HB, AR, UBjr, VO, AMjr) Department of Pathology (RD). São Paulo. BR
  • Bacelar, Herick; Federal University of São Paulo. Departament of Urology (PO, HB, AR, UBjr, VO, AMjr) Department of Pathology (RD). São Paulo. BR
  • Rondon, Atila; Federal University of São Paulo. Departament of Urology (PO, HB, AR, UBjr, VO, AMjr) Department of Pathology (RD). São Paulo. BR
  • Barroso Jr., Ubirajara; Federal University of São Paulo. Departament of Urology (PO, HB, AR, UBjr, VO, AMjr) Department of Pathology (RD). São Paulo. BR
  • Ortiz, Valdemar; Federal University of São Paulo. Departament of Urology (PO, HB, AR, UBjr, VO, AMjr) Department of Pathology (RD). São Paulo. BR
  • Macedo Jr., Antônio; Federal University of São Paulo. Departament of Urology (PO, HB, AR, UBjr, VO, AMjr) Department of Pathology (RD). São Paulo. BR
Int. braz. j. urol ; 38(6): 825-832, Nov-Dec/2012. tab, graf
Artículo en Inglés | LILACS | ID: lil-666023
ABSTRACT
Objective

id="para1">To histologically evaluate, in an experimental study in rabbits, the integration process of the buccal mucosa fenestrated graft applied in the corpora cavernosa for Bracka first stage urethroplasty. Materials and <a class="decs" id="22045">Methods</a>

id="para2">A urethral defect was surgically created in 16 male rabbits of the New Zealand breed through the excision of the penile urethra. The urethral defect was corrected by applying buccal mucosa fenestrated graft through two cruciform incisions in the distal portions of its longitudinal axis. The animals were sacrificed at 2, 4, 8 and 12 weeks post surgery and their genitals were subjected to clinical and histological assessment. Results

id="para3">The buccal mucosa fenestrated graft showed complete uptake in all groups, with keratinization squamous metaplasia and mucosal proliferation of the fenestrated areas. The fenestrated graft area represented an increase in length of 25% in length in relation to the original standard graft. Conclusions

id="para4">The fenestrated buccal mucosa graft presented total integration to the adjacent epithelia with re-epithelization of the incision areas of the graft (fenestrations) and no significant inflammatory or scarring reactions when compared to other mucosa transplanted areas; therefore its application is viable in cases of extensive urethral defect whenever the donating area might be insufficient. .

Asunto(s)


Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Uretra / Estrechez Uretral / Mucosa Bucal Tipo de estudio: Estudio pronóstico Límite: Animales Idioma: Inglés Revista: Int. braz. j. urol Asunto de la revista: Urología Año: 2012 Tipo del documento: Artículo País de afiliación: Brasil Institución/País de afiliación: Federal University of São Paulo/BR

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Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Uretra / Estrechez Uretral / Mucosa Bucal Tipo de estudio: Estudio pronóstico Límite: Animales Idioma: Inglés Revista: Int. braz. j. urol Asunto de la revista: Urología Año: 2012 Tipo del documento: Artículo País de afiliación: Brasil Institución/País de afiliación: Federal University of São Paulo/BR