DORSAL GRAFT URETHROPLASTY BY A VENTRAL SAGITTAL URETHROTOMY
Annual EAU Congress
2009
Palminteri E. (1),
Berdondini E. (1), Poluzzi M. (2), Molon A. (2).
(1) Center for Urethral
and Genitalia Reconstructive Surgery, Arezzo, Italy.
Introduction & Objectives: The Video describes the dorsal graft
penile urethroplasty by ventral sagittal urethrotomy approach.
Materials & Methods: Patient
with penile urethral stricture is treated by a dorsal buccal mucosa graft
(BMG). Circumcision and degloving. The urethra is not separated from the
corporal bodies and is opened ventrally in the midline over the stricture.
As Asopa suggested the
exposed dorsal urethra is incised in the midline down to the tunica albuginea.
The margins of the incised dorsal urethra are dissected from the tunica: an
elliptical raw area is created over the tunica albuginea where the dorsal-inlay
BMG is placed and quilted to the corpora to augment dorsally the urethral
plate. The ventral urethrotomy is closed over the catheter.
Results: After
10 days the catheter is removed.
Conclusions: The ventral sagittal
urethrotomy approach for dorsal graft penile urethroplasty is successful and
easy to perform. Finally this technique reduces the risk of complications due
to the penile flap.
