| Ventral onlay urethroplasty using buccal mucosa for complex stricture repair. | |
| | |
MedLine Citation:
|
PMID: 12736024 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVES: To report the short to medium-term results of one-stage buccal mucosa ventral onlay in the treatment of recurrent urethral stricture disease. METHODS: Between April 1997 and July 2001, buccal mucosa was used as a ventral onlay graft in 38 patients with recurrent strictures of the bulbar (n = 30) and proximal penile urethra (n = 8). All patients had undergone at least 1 urethrotomy (range 1 to 10; mean 2.9) before reconstruction. Prospective follow-up included a simple questionnaire on patient satisfaction, uroflowmetry, and ultrasound estimation of postvoid residual urine volume and, in the case of recurrence, retrograde urethrography and cystoscopy. RESULTS: The primary success rate at a mean follow-up of 22.8 months (range 8.7 to 40.7) was 80%. Stricture recurred in 7 patients, mostly within 12 months. A distinct residual irregularity at the former stricture site in the initial postoperative urethrogram was predictive of failed reconstruction. A second procedure was performed in 4 patients (1 urethrotomy and 3 re-buccal mucosa onlay grafts) with good results. Patient satisfaction was high in most instances. Three patients refused reoperation, preferring regular intermittent dilation. CONCLUSIONS: When end-to-end anastomosis is impossible, onlay urethroplasty using buccal mucosa is a rather simple alternative with encouraging short to medium-term results in the proximal segments of the male urethra. |
| | |
Authors:
|
Tobias Heinke; Elmar W Gerharz; Roland Bonfig; Hubertus Riedmiller |
Related Documents
:
|
21606864 - A prospective study of the push tool in diabetic foot ulcers. 12548064 - Efficacy and safety of oral pantoprazole 20 mg given once daily for reflux esophagitis ... 21932064 - Does it need to perform anterior column support after smith-petersen osteotomy for anky... 22033544 - The effects of drainage on the rates of early wound complications and recurrences after... 10601904 - Surgical management of recurrent stress urinary incontinence: a 12-year experience. 19796314 - Effect of surgical technique on radiographic fusion of the anconeus in the treatment of... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Urology Volume: 61 ISSN: 1527-9995 ISO Abbreviation: Urology Publication Date: 2003 May |
Date Detail:
|
Created Date: 2003-05-08 Completed Date: 2003-05-30 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0366151 Medline TA: Urology Country: United States |
Other Details:
|
Languages: eng Pagination: 1004-7 Citation Subset: IM |
Affiliation:
|
Department of Urology, Julius-Maximilians University Medical School, Würzburg, Germany. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Follow-Up Studies Humans Male Middle Aged Mouth Mucosa / surgery, transplantation* Patient Satisfaction Prospective Studies Questionnaires Reconstructive Surgical Procedures / methods* Recurrence Reoperation Transplantation, Autologous Treatment Failure Treatment Refusal Urethral Stricture / surgery* Urologic Surgical Procedures, Male / methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Nesbit procedure for disabling Peyronie's curvature: a median follow-up of 84 months.
Next Document: Buccal mucosa urethroplasty in the treatment of bulbar urethral strictures.