[Autologous buccal mucosal graft for urethral reconstruction]. / Reconstrucción uretral con injerto autoólogo de mucosa oral.
Cir Pediatr
; 11(2): 71-2, 1998 Apr.
Article
en Es
| MEDLINE
| ID: mdl-9608145
ABSTRACT
Proximal hypospadias are a difficult surgical problem, whether it could take place different surgical approaches. One of those is based on the creation of a neourethra using a free buccal mucosal graft, as a patch or a tube, obtained from de lips or cheek. Since 1983 we have been using this technique in 8 patients. The urethral meatus was penoscrotal in 3, scrotal in 3 and perineal in 2. There was a significant chordee in 3 patients. Hormonal treatment was necessary in 5 patients. The average age for surgery was 3.5 years. The graft was tubularized in all the cases. The free buccal mucosal graft was combined with a distal Duckett procedure in 6 patients. Two patients received only a free buccal mucosal graft. The final result is satisfactory in all the cases, with a good urinary jet. The complications were 7 urethrocutaneous fistulas, 5 of whom needed a surgical repair, and 2 stenosis, which also needed surgical repair.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Uretra
/
Hipospadias
/
Mucosa Bucal
Límite:
Child, preschool
/
Humans
/
Male
Idioma:
Es
Revista:
Cir Pediatr
Asunto de la revista:
PEDIATRIA
Año:
1998
Tipo del documento:
Article