Two-staged urethroplasty: buccal mucosa and mesh graft techniques.
Aktuelle Urol
; 41 Suppl 1: S5-9, 2010 Jan.
Article
en En
| MEDLINE
| ID: mdl-20094954
ABSTRACT
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 ANDMETHODS:
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.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Colgajos Quirúrgicos
/
Mallas Quirúrgicas
/
Uretra
/
Estrechez Uretral
/
Procedimientos de Cirugía Plástica
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
Límite:
Humans
/
Male
Idioma:
En
Revista:
Aktuelle Urol
Año:
2010
Tipo del documento:
Article
País de afiliación:
Alemania