Single stage: dorsolateral onlay buccal mucosal urethroplasty for long anterior urethral strictures using perineal route
| Autor: | Shishir Devaraju, Murigendra B Hiremath, Vikram Prabha, Ritesh Vernekar |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty Urologic Surgical Procedures Male Adolescent Urethral stricture Urology Urethroplasty medicine.medical_treatment Bulbospongiosus muscle Operative Time 030232 urology & nephrology lcsh:RC870-923 Perineum 03 medical and health sciences Young Adult 0302 clinical medicine Postoperative Complications Urethra Medical Illustration medicine Humans Reconstructive Surgical Procedures Urethral Stricture business.industry Mouth Mucosa Reproducibility of Results Length of Stay Middle Aged lcsh:Diseases of the genitourinary system. Urology medicine.disease Meatal stenosis Surgery medicine.anatomical_structure Treatment Outcome Corpus Spongiosum 030220 oncology & carcinogenesis Original Article business Penis |
| Zdroj: | International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology International braz j urol, Volume: 42, Issue: 3, Pages: 564-570, Published: JUN 2016 International braz j urol v.42 n.3 2016 International Braz J Urol Sociedade Brasileira de Urologia (SBU) instacron:SBU International Brazilian Journal of Urology, Vol 42, Iss 3, Pp 564-570 (2016) |
| ISSN: | 1677-6119 1677-5538 |
| Popis: | Objective To assess the outcome of single stage dorsolateral onlay buccal mucosal urethroplasty for long anterior urethral strictures (>4cm long) using a perineal incision. Materials and Methods From August 2010 to August 2013, 20 patients underwent BMG urethroplasty. The cause of stricture was Lichen sclerosis in 12 cases (60%), Instrumentation in 5 cases (25%), and unknown in 3 cases (15%). Strictures were approached through a perineal skin incision and penis was invaginated into it to access the entire urethra. All the grafts were placed dorsolaterally, preserving the bulbospongiosus muscle, central tendon of perineum and one-sided attachement of corpus spongiosum. Procedure was considered to be failure if the patient required instrumentation postoperatively. Results Mean stricture length was 8.5cm (range 4 to 12cm). Mean follow-up was 22.7 months (range 12 to 36 months). Overall success rate was 85%. There were 3 failures (meatal stenosis in 1, proximal stricture in 1 and whole length recurrent stricture in 1). Other complications included wound infection, urethrocutaneous fistula, brownish discharge per urethra and scrotal oedema. Conclusion Dorsolateral buccal mucosal urethroplasty for long anterior urethral strictures using a single perineal incision is simple, safe and easily reproducible by urologists with a good outcome. |
| Databáze: | OpenAIRE |
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