Lingual mucosal graft two-stage Bracka technique for redo hypospadias repair

Arab Journal of Urology
A M N SakrS A S Khalil

Abstract

To report our initial experience in redo hypospadias repair with a lingual mucosal graft (LMG) using a two-stage Bracka technique. This study was prospectively conducted and included 26 patients with hypospadias with failed previous repairs. All the patients had a LMG using a two-stage Bracka technique. In the first stage, the harvested LMG, from the ventro-lateral surface of the tongue, was implanted in a well-prepared vascularised bed in the ventral aspect of the penis. After 6 months, tubularisation of the well-taken graft was completed. Tunica vaginalis or a dartos flap was used as second-layer coverage of the neourethra. Success was defined as acceptable aesthetic and functional outcomes without any additional surgical interventions. The mean (SD) patient age was 5.15 (1.6) years. The mean (SD) LMG length was 3.82 (0.9) cm and the width was 1.5 (0.5) cm. The mean (SD) number of previous repairs was 2.76 (1.1). The mean (SD) follow-up was 12 (2) months. Donor-site complications included: pain in all patients, with a pain score of >3 on the visual analogue pain scale (0-10) in 10 (38%); and speech problems in 19 (73%). First-stage complications were graft loss (n = 2) and contracture (n = 1). The second stage was completed i...Continue Reading

References

Sep 1, 1995·British Journal of Plastic Surgery·A Bracka
Jun 1, 1994·The Journal of Urology·L S Baskin, J W Duckett
Jun 4, 1998·Urology·A A CaldamoneW C Hulbert
Sep 8, 2001·The Journal of Urology·M J MetroD A Canning
May 29, 2003·The Journal of Urology·Levent Emir, Demokan Erol
Nov 14, 2003·Journal of Pediatric Surgery·Michael SoutisDimitris Keramidas
May 6, 2004·The Journal of Urology·Michael T Nguyen, Warren T Snodgrass
Sep 17, 2004·The Journal of Urology·Warren Snodgrass, James Elmore
Nov 16, 2004·The Journal of Urology·Jan FichtnerJoachim W Thüroff
Sep 9, 2005·The Journal of Urology·Samuel A AmukeleMoneer K Hanna
Jan 13, 2006·The Journal of Urology·Alchiede SimonatoGiorgio Carmignani
Feb 16, 2006·European Urology·Guido BarbagliMassimo Lazzeri
Feb 12, 2008·European Urology·Alchiede SimonatoGiorgio Carmignani
Oct 1, 2008·Journal of Indian Association of Pediatric Surgeons·V SripathiK Shubha
Feb 23, 2010·Urologia Internationalis·Abhay KumarPratap B Singh
Apr 3, 2010·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Nauman Ahmad Gill, Abdul Hameed
Aug 5, 2011·Indian Journal of Urology : IJU : Journal of the Urological Society of India·R B NerliMurigendra B Hiremath
Sep 27, 2012·Journal of Pediatric Urology·A M MaaroufM Eladl
Apr 23, 2013·International Journal of Urology : Official Journal of the Japanese Urological Association·Adittya K SharmaG K Venkatesh
Feb 18, 2014·Medical Journal, Armed Forces India·Anand SrivastavaD K Jain

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Citations

Feb 10, 2020·International Journal of Urology : Official Journal of the Japanese Urological Association·Hussein Abdelhameed AldaqadossiSamir Azazy

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