//Dorsal free graft urethroplasty
Dorsal free graft urethroplasty2017-04-05T18:51:34+00:00

Dorsal free graft urethroplasty

 

Uretra, stenosi uretrale

Authors:
Enzo Palminteri et Al.

Publication:
J Urol.

Volume:
155(1):123-6

Centre:
Center for Urethral and Genitalia Reconstructive Surgery, Arezzo, Italy

 

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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