//Dorsal graft urethroplasty by a ventral sagittal urethrotomy
Dorsal graft urethroplasty by a ventral sagittal urethrotomy2017-04-05T18:51:40+00:00

Dorsal graft urethroplasty by a ventral sagittal urethrotomy

 

Authors:
Enzo Palminteri, Elisa Berdondini et Al.

Publication:
Annual EAU Congress 2009

Centre:
Center for Reconstructive Urethral and Genitalia 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.
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.

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.

torna a attività scientifica 2009