BUCCAL MUCOSA URETHROPLASTY FOR THE TREATMENT OF BULBAR URETHRAL STRICTURES

Abstract

No AccessJournal of UrologyClinical Urology: Original Articles1 May 1999BUCCAL MUCOSA URETHROPLASTY FOR THE TREATMENT OF BULBAR URETHRAL STRICTURES VITO PANSADORO, PAOLO EMILIOZZI, MARCO GAFFI, and PAOLO SCARPONE VITO PANSADOROVITO PANSADORO , PAOLO EMILIOZZIPAOLO EMILIOZZI , MARCO GAFFIMARCO GAFFI , and PAOLO SCARPONEPAOLO SCARPONE View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)68938-0AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We report the results of urethroplasty with a free graft of buccal mucosa as a dorsal onlay for the treatment of bulbar urethral strictures. Materials and Methods: Since June 1994, 30 patients with bulbar urethral strictures have been treated with buccal mucosa urethroplasty. Urethroplasty was performed with a free graft of buccal mucosa using a ventral onlay in the first 7 patients and a dorsal onlay in 23. Dorsal urethrotomy was performed with a Sachse urethrotome after the bulbar urethra was separated from the corpora. The buccal mucosa onlay was sutured to the urethra and corpora cavernosa to ensure a patent urethra. Results: At 20-month followup (range 3 to 50) the success rate was 96% (29 of 30 patients). Urethral stricture recurred in only 1 of 7 patients in the ventral onlay and none of 23 in the dorsal onlay group. Conclusions: Preliminary results of urethroplasty for bulbar urethral strictures with a dorsal onlay graft of buccal mucosa are excellent. Longer followup is needed to evaluate definitive results. References 1 : Internal urethrotomy in the management of anterior urethral strictures: long-term followup. J. Urol.1996; 156: 73. Link, Google Scholar 2 : The buccal mucosal graft for urethral reconstruction: a preliminary report. J. Urol.1992; 147: 662. Link, Google Scholar 3 : A one-stage dorsal free-graft urethroplasty for bulbar urethral strictures. Brit. J. Urol.1996; 78: 929. Google Scholar 4 : Bacteriologic localization patterns in bacterial prostatitis and urethritis. Invest. Urol.1968; 5: 492. Google Scholar 5 : Urethral strictures in children: treatment by urethroplasty with bladder mucosa graft. J. Urol.1992; 148: 1504. Abstract, Google Scholar 6 : The use of buccal mucosa patch graft in the management of anterior urethral strictures. J. Urol.1993; 149: 276. Link, Google Scholar 7 : Buccal mucosal grafts for urethral reconstruction. Urology1998; 51: 15. Google Scholar 8 : Buccal mucosa urethral replacement. J. Urol.1995; 153: 1660. Link, Google Scholar 9 : Use of autologous buccal mucosal graft for urethral surgery in males. Eur. Urol.1996; 29: 227. Google Scholar 10 : When and how to use buccal mucosal grafts in adult bulbar urethroplasty. Urology1996; 48: 194. Google Scholar 11 : The use of buccal mucosa for substitution urethroplasty. Eur. Urol.1998; 33: 154. Google Scholar 12 : Dorsal onlay urethroplasty using penile skin or buccal mucosa in adult bulbourethral strictures. J. Urol.1998; 160: 1307. Link, Google Scholar 13 : Dorsal onlay urethroplasty for repair of bulbar urethra strictures. J. Urol.1998; 159: 67. abstract 250. Google Scholar 14 : Strictures of the anterior urethra. AUA Update Series1990; vol. IX: 194. lesson 25. Google Scholar From the Departments of Urology, San Giovanni Hospital, San Raffaele Institute and San Camillo Hospital, Rome, Italy© 1999 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited ByAbouassaly R and Angermeier K (2018) Augmented Anastomotic UrethroplastyJournal of Urology, VOL. 177, NO. 6, (2211-2216), Online publication date: 1-Jun-2007.Markiewicz M, Lukose M, Margarone J, Barbagli G, Miller K and Chuang S (2018) The Oral Mucosa Graft: A Systematic ReviewJournal of Urology, VOL. 178, NO. 2, (387-394), Online publication date: 1-Aug-2007.XU Y, QIAO Y, SA Y, WU D, ZHANG J, ZHANG X, CHEN R and SI J (2018) 1-Stage Urethral Reconstruction Using Colonic Mucosa Graft for the Treatment of a Long Complex Urethral StrictureJournal of Urology, VOL. 171, NO. 1, (220-223), Online publication date: 1-Jan-2004.ELLIOTT S, METRO M and McANINCH J (2018) Long-Term Followup of the Ventrally Placed Buccal Mucosa Onlay Graft in Bulbar Urethral ReconstructionJournal of Urology, VOL. 169, NO. 5, (1754-1757), Online publication date: 1-May-2003.De Filippo R, Yoo J and Atala A (2018) Urethral Replacement Using Cell Seeded Tubularized Collagen MatricesJournal of Urology, VOL. 168, NO. 4 Part 2, (1789-1793), Online publication date: 1-Oct-2002.KANE C, TARMAN G, SUMMERTON D, BUCHMANN C, WARD J, O’REILLY K, RUIZ H, THRASHER J, ZORN B, SMITH C and MOREY A (2018) MULTI-INSTITUTIONAL EXPERIENCE WITH BUCCAL MUCOSA ONLAY URETHROPLASTY FOR BULBAR URETHRAL RECONSTRUCTIONJournal of Urology, VOL. 167, NO. 3, (1314-1317), Online publication date: 1-Mar-2002.GURALNICK M and WEBSTER G (2018) THE AUGMENTED ANASTOMOTIC URETHROPLASTY: INDICATIONS AND OUTCOME IN 29 PATIENTSJournal of Urology, VOL. 165, NO. 5, (1496-1501), Online publication date: 1-May-2001. Volume 161Issue 5May 1999Page: 1501-1503 Advertisement Copyright & Permissions© 1999 by American Urological Association, Inc.MetricsAuthor Information VITO PANSADORO More articles by this author PAOLO EMILIOZZI More articles by this author MARCO GAFFI More articles by this author PAOLO SCARPONE More articles by this author Expand All Advertisement PDF DownloadLoading ...