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Management of long segment anterior urethral stricture (≥ 8cm) using buccal mucosal (BM) graft and penile skin (PS) flap: outcome and predictors of failure
Alsagheer, Gamal A; Fathi, Atef; Abdel-Kader, Mohamed Sayed; Hasan, Ahmed M; Mohamed, Omar; Mahmoud, Osama; Abolyosr, Ahmad.
Afiliação
  • Alsagheer, Gamal A; South Valley University. Qena Faculty of medicine. Department of Urology. EG
  • Fathi, Atef; South Valley University. Qena Faculty of medicine. Department of Urology. EG
  • Abdel-Kader, Mohamed Sayed; South Valley University. Qena Faculty of medicine. Department of Urology. EG
  • Hasan, Ahmed M; South Valley University. Qena Faculty of medicine. Department of Urology. EG
  • Mohamed, Omar; South Valley University. Qena Faculty of medicine. Department of Urology. EG
  • Mahmoud, Osama; South Valley University. Qena Faculty of medicine. Department of Urology. EG
  • Abolyosr, Ahmad; South Valley University. Qena Faculty of medicine. Department of Urology. EG
Int. braz. j. urol ; 44(1): 163-171, Jan.-Feb. 2018. tab, graf
Artigo em Inglês | LILACS | ID: biblio-892955
Biblioteca responsável: BR1.1
ABSTRACT
ABSTRACT Purpose To evaluate the surgical outcome and predictors of failure of substitution urethroplasty using either dorsal onlay buccal mucosal (BM) graft or ventral onlay penile skin flap (PS) for anterior urethral stricture ≥ 8cm. Patients and methods Between March 2010 and January 2016, 50 patients with anterior urethral stricture ≥ 8 cm were treated at our hospital. The surgical outcome and success rate were assessed. The predictors of failure were analyzed using multivariate analysis. Failure was considered when subsequent urethrotomy or urethroplasty were needed. Results Dorsal onlay BM graft was carried out in 24 patients, while PS urethroplasty in 26 patients. There was no significant difference between both groups regarding patients demographics, stricture characteristics or follow-up period. One case in the BM group was lost during follow-up. Stricture recurrence was detected in 7 (30.4%) patients out of BM group while in 6 (23.1%) patients out of PS group (p value= 0.5). No significant differences between both groups regarding overall early and late complications were observed. Occurrence of early complications and the stricture length were the only predictors of failure in univariate analysis, while in multivariate analysis the occurrence of early complications was only significant. Conclusion On short-term follow-up, both dorsal onlay BM graft and ventral onlay PS flap urethroplasty have similar success rates. However, BM graft has a potential advantage to reduce operative time and is also technically easier. The surgeon should avoid early local complications as they represent a higher risk for failure.
Assuntos


Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: LILACS Assunto principal: Pênis / Procedimentos Cirúrgicos Urológicos Masculinos / Retalhos Cirúrgicos / Estreitamento Uretral / Transplante de Pele / Mucosa Bucal Tipo de estudo: Estudo observacional / Estudo prognóstico / Fatores de risco Limite: Adulto / Humanos / Masculino Idioma: Inglês Revista: Int. braz. j. urol Assunto da revista: Urologia Ano de publicação: 2018 Tipo de documento: Artigo País de afiliação: Egito Instituição/País de afiliação: South Valley University/EG

Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: LILACS Assunto principal: Pênis / Procedimentos Cirúrgicos Urológicos Masculinos / Retalhos Cirúrgicos / Estreitamento Uretral / Transplante de Pele / Mucosa Bucal Tipo de estudo: Estudo observacional / Estudo prognóstico / Fatores de risco Limite: Adulto / Humanos / Masculino Idioma: Inglês Revista: Int. braz. j. urol Assunto da revista: Urologia Ano de publicação: 2018 Tipo de documento: Artigo País de afiliação: Egito Instituição/País de afiliação: South Valley University/EG
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