Repair of Complicated Posterior Urethral Stricture Using Inferior Pubectomy and Gracilis Muscle Flap / 대한비뇨기과학회지
Korean Journal of Urology
; : 862-865, 2002.
Article
in Ko
| WPRIM
| ID: wpr-29747
Responsible library:
WPRO
ABSTRACT
PURPOSE:
To evaluate the usefulness of an inferior pubectomy and a gracilis muscle flap for the reconstruction of a complicated posterior urethral stricture, where urethroplasty had failed, or due to a long urethral defect. MATERIALS ANDMETHODS:
A total of sixty eight patients with complicated posterior urethral strictures, following a pelvic bone fracture, were managed by a one-stage perineal repair at Pundang CHA hospital between March 1998 and April 2002. End-to-end anastomosis was performed in all cases, with corporeal body separation, or an inferior pubectomy and transposition of the gracilis muscle flap performed in a progressive manner if required.RESULTS:
The success rate of all the cases was 95.6%. Additional procedures made no differences to the incidence of impotence, and the incidences of restricture and incontinence were low.CONCLUSIONS:
Our results shows that an inferior pubectomy and a gracilis muscle flap can be useful methods in the treatment and prevention of incontinence and restricture in most cases of complicated posterior urethral strictures.Key words
Full text:
1
Index:
WPRIM
Main subject:
Pelvic Bones
/
Urethral Stricture
/
Incidence
/
Erectile Dysfunction
Type of study:
Incidence_studies
/
Prognostic_studies
Limits:
Humans
/
Male
Language:
Ko
Journal:
Korean Journal of Urology
Year:
2002
Type:
Article