| Dorsal buccal mucosa graft urethroplasty for female urethral strictures. | |
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MedLine Citation:
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PMID: 16952664 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: We describe the feasibility and complications of dorsal buccal mucosa graft urethroplasty in female patients with urethral stenosis. MATERIALS AND METHODS: From April 2005 to July 2005, 3 women 45 to 65 years old (average age 53.7) with urethral stricture disease underwent urethral reconstruction using a dorsal buccal mucosa graft. Stricture etiology was unknown in 1 patient, ischemic in 1 and iatrogenic in 1. Buccal mucosa graft length was 5 to 6 cm and width was 2 to 3 cm. The urethra was freed dorsally until the bladder neck and then opened on the roof. The buccal mucosa patch was sutured to the margins of the opened urethra and the new roof of the augmented urethra was quilted to the clitoris corpora. RESULTS: In all cases voiding urethrogram after catheter removal showed a good urethral shape with absent urinary leakage. No urinary incontinence was evident postoperatively. On urodynamic investigation all patients showed an unobstructed Blaivas-Groutz nomogram. Two patients complained about irritative voiding symptoms at catheter removal, which subsided completely and spontaneously after a week. CONCLUSIONS: The dorsal approach with buccal mucosa graft allowed us to reconstruct an adequate urethra in females, decreasing the risks of incontinence and fistula. |
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Authors:
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Roberto Migliari; Pierluigi Leone; Elisa Berdondini; M De Angelis; Guido Barbagli; Enzo Palminteri |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of urology Volume: 176 ISSN: 0022-5347 ISO Abbreviation: J. Urol. Publication Date: 2006 Oct |
Date Detail:
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Created Date: 2006-09-05 Completed Date: 2006-10-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0376374 Medline TA: J Urol Country: United States |
Other Details:
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Languages: eng Pagination: 1473-6 Citation Subset: AIM; IM |
Affiliation:
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Department of Urology, Ospedale Santa Maria alla Gruccia, Montevarchi, Italy. r.migliari@tin.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Feasibility Studies Female Follow-Up Studies Humans Middle Aged Mouth Mucosa / transplantation* Retrospective Studies Treatment Outcome Urethral Stricture / physiopathology, radiography, surgery* Urination / physiology Urodynamics / physiology Urologic Surgical Procedures / methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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