Two-Staged Urethroplasty: Buccal Mucosa and Mesh Graft Techniques
| Autor: | Margit Fisch, D. Pfalzgraf, F. Schreiter, R. Olianas |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Male
Reoperation medicine.medical_specialty Urethral stricture Urology Urethroplasty medicine.medical_treatment Group ii Buccal mucosa Surgical Flaps Postoperative Complications Urethra Recurrence medicine Humans In patient Patient group Urethral Stricture business.industry Plastic Surgery Procedures Surgical Mesh medicine.disease Surgery Patient Satisfaction Mesh graft Complication business Follow-Up Studies |
| Zdroj: | Aktuelle Urologie. 41:S5-S9 |
| ISSN: | 1438-8820 0001-7868 |
| DOI: | 10.1055/s-0029-1224664 |
| Popis: | PURPOSE: The purpose of this study was to describe indications, the operative technique and results of the two-staged buccal mucosa (BM) and mesh graft urethroplasty for treatment of -urethral strictures. MATERIAL AND METHODS: Between 3 / 1993 and 12 / 1999, urethral reconstructions were performed in 267 consecutive patients (group I), including 68 mesh graft urethroplasties (25 %) and 30 BM urethroplasties (12 %). Between 1 / 2000 and 8 / 2004, additional 249 urethroplasties were performed: Of those, 12 % were mesh graft and 50 % BM urethroplasties (group II). RESULTS: In patient group I, stricture recurrence was found to be the main complication of both procedures (BM 17 %, mesh 16 %). However, erectile dysfunction and curvature only occurred in the mesh graft group with 4 % and 9 %, respectively. Patient satisfaction was high in both groups (BM 96.7 %, mesh 83.3 %). Between 1 / 2000 and 8 / 2004 (group II) the number of BM urethroplasties increased to 50 %, whereas the number of mesh graft urethroplasty decreased (12 %). More than 80 % of the patients were satisfied with the results. CONCLUSIONS: Long strictures with severe spongiofibrosis represent an indication for two staged urethro-plasty (BM and mesh graft). Excellent -results can be achieved with both techniques with a similar rate of complications. The mesh graft technique remains the last option for a complex patient group. |
| Databáze: | OpenAIRE |
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