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Dorsal free graft urethroplasty
uretra, stenosi uretrale
Barbagli G, Selli C, Tosto A, Palminteri E.
Dorsal free graft urethroplasty.
J Urol. 1996 Jan;155(1):123-6.
Dorsal free graft urethroplasty.
PURPOSE: Dorsal free graft urethroplasty was performed to reduce the incidence of urethrocele.
MATERIALS AND METHODS: We treated 12 patients with penile and 13 with bulbous strictures. Of the 13 patients with a bulbous stricture 6 received a dorsally placed tube graft and 7 received a patch graft.
RESULTS: Temporary fistulas were seen on postoperative urethrography in 5 cases but they all resolved spontaneously. At a mean followup of 35.8 months clinical and radiological findings were excellent in 23 cases and good in 2. No signs of graft weakening, such as post-void dribbling or diminished ejaculation, were apparent.
CONCLUSIONS: The use of free skin grafts for urethral reconstruction is anatomically healthier in the dorsal than in the ventral position.
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